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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Case presentation

بسم الله الرحمن الرحيم

Case Presentation

  • Dr. HudaAL-Sakran

  • R2 [SSC-Dent(Endo)]


Patient personal data

Patient personal data :

26yrs old Saudi female.

  • Medical History:

    NAD

  • Allergy:

    None.

  • Past Dental History:

    several restorations.


Case presentation

  • Chief Complaint:

    I have pain in my tooth during mastication

  • Nature of pain:

    dull ,moderate , localized pain, initiated by mastication


Clinical examination

Clinical examination:

  • Extra-oral Examination: WNL

  • Intra-Oral Examination:

    soft tissues: WNL

    clinical crown: badly decayed


Tooth periodontal exam

Tooth & Periodontal Exam


Radiographic finding

Radiographic Finding


Radiographic finding1

Radiographic Finding


Diagnosis

Diagnosis

  • Pulpal: Necrotic Pulp

  • Periapical: Acute PeriradicularPeridontitis

  • Periodontal: WNL


Case presentation

  • Etiology: Caries.

  • TX. Plan:

  • Endodontic: Non-surgical RCT.

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

  • Prognosis: Good.


Case presentation

Access Opening


Case presentation

Biomechanical Data:


Case presentation

WL

WL


Case presentation

MAC

MAC


Case presentation

Case no. 2


Patient personal data1

Patient personal data :

46yrs old Saudi female.

  • Medical History:

    NAD

  • Allergy:

    None.

  • Past Dental History:

    several restorations.

    several RCT.

    several extractions


Case presentation

  • Chief Complaint:

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

  • History of present illness:

    no pain


Clinical examination1

Clinical examination:

  • Extra-oral Examination: WNL

  • Intra-Oral Examination:

    soft tissues: WNL

    clinical crown: with Temp. Filling


Tooth periodontal exam1

Tooth & Periodontal Exam


Radiographic finding2

Radiographic Finding


Diagnosis1

Diagnosis

  • Pulpal: prior RCT

  • Periapical: Chronic PeriradicularPeridontitis

  • Periodontal:

    generalized marginal gingivitis.


Case presentation

  • Etiology: prior RCT

  • TX. Plan:

  • Endodontic: Non-surgical RC retreatment.

  • Restorative: casted post & core& crown

  • Prognosis:Good.


Access opening

Access Opening


Case presentation

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


Case presentation

Biomechanical Data:


Case presentation

IF


Case presentation

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.


Case presentation

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


Case presentation

MAC

MAC


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