بسم الله الرحمن الرحيم
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بسم الله الرحمن الرحيم. Case Presentation. Dr. Huda AL- Sa kran R2 [SSC-Dent(Endo)] . Patient personal data :. 26yrs old Saudi female. Medical History: NAD Allergy : None. Past Dental History : several restorations. Chief Complaint:

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بسم الله الرحمن الرحيم

Case Presentation

  • Dr. HudaAL-Sakran

  • R2 [SSC-Dent(Endo)]


Patient personal data :

26yrs old Saudi female.

  • Medical History:

    NAD

  • Allergy:

    None.

  • Past Dental History:

    several restorations.


  • Chief Complaint:

    I have pain in my tooth during mastication

  • Nature of pain:

    dull ,moderate , localized pain, initiated by mastication


Clinical examination:

  • Extra-oral Examination: WNL

  • Intra-Oral Examination:

    soft tissues: WNL

    clinical crown: badly decayed


Tooth & Periodontal Exam


Radiographic Finding


Radiographic Finding


Diagnosis

  • Pulpal: Necrotic Pulp

  • Periapical: Acute PeriradicularPeridontitis

  • Periodontal: WNL


  • Etiology: Caries.

  • TX. Plan:

  • Endodontic: Non-surgical RCT.

  • Restorative: casted post & core& crown , after crown lengthening.

  • Prognosis: Good.


Access Opening


Biomechanical Data:


WL

WL


MAC

MAC


Case no. 2


Patient personal data :

46yrs old Saudi female.

  • Medical History:

    NAD

  • Allergy:

    None.

  • Past Dental History:

    several restorations.

    several RCT.

    several extractions


  • Chief Complaint:

    my doctor told me I need to redo RCT for my teeth

  • History of present illness:

    no pain


Clinical examination:

  • Extra-oral Examination: WNL

  • Intra-Oral Examination:

    soft tissues: WNL

    clinical crown: with Temp. Filling


Tooth & Periodontal Exam


Radiographic Finding


Diagnosis

  • Pulpal: prior RCT

  • Periapical: Chronic PeriradicularPeridontitis

  • Periodontal:

    generalized marginal gingivitis.


  • Etiology: prior RCT

  • TX. Plan:

  • Endodontic: Non-surgical RC retreatment.

  • Restorative: casted post & core& crown

  • Prognosis:Good.


Access Opening


ProFile .04 Taper with or without chloroform

seemed to be a viable alternative retreatment technique for guttapercha-obturated root canals.

Sae-Lim V, et al, 2000

The rotary methods were considerably faster in removing gutta-percha from obturated root than the hand methods, and the time for the ProFiles alone was less than that for Profiles with chloroform

Pitt Ford ,etal2001


Biomechanical Data:


IF


tamse & kafine 1980 :

zygomatic arch interferes with the apical third of the roots of the first and second upper molars. The number of interferences around the second molar apices was much larger (42 percent average) than those around the first molar apices (20 percent average). For endodontic radiographic diagnosis of the upper two molars, the bisecting-angle technique has proved to be unreliable. Need to shift x-ray beam to move arch off of the root.


when using the bisecting angle technique, superimposition of the zygomatic process of the maxilla over the root apices of molar teeth will occur. Modification of the bisecting angle technique by reducing vertical angulation will decreases the incidence of superimposition of the zygomatic process . Fava & Dummer 1997

Decrease in vertical angle produces cause an elongated tooth and may increase the size of the radiolucent area,Huumonen & Ørstavik 2002


MAC

MAC


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