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User Submitted Cases

Here you can post your cases. Best ones will be selected as cases of the month.

User Submitted Cases: A story of an upper central incisor with " double canals "

23172421_10159465311435514_1368333093189869485_n

Joined: May 2017

Rank: Rookie

Posts: 3

#1
- This traumatized incisor was referred due to inability of the referred dentist to locate the canal after opening an emergency access in the upper central incisor

- The preoperative periapical film showed an unusual strange root anatomy , so lets take CBCT that showed at the coronal level that the main canal is offcentered indicating presence of another side canal (s) , " may be " ..check the attached cbct captures

- sensitivity testing gives -ve response for both upper central and lateral incisor ( that was endo treated later on )

- The main canal of the upper central incisor was located after removal of a slight coronal calcification using US Et 20 , and x ray was taken wz a file to ensure that " yes the canal is not centralized " ..check the attached x ray

- The other canal was also located after side troughing with ultrasonic guided by the info given from the CBCT .. Check the attached x ray

- Shaping of the canals were done using Hyflex , the extracanal shaping was a little bit not easy due to multi-planned curvatures

- After shaping of both canals , i felt that i were dealing with somewhat a C- shaped ithmus with multiple intercommunications.

-2 master cones were placed simultaneously ,, accessory cones were added to insure a greater bulk of gutta-percha for condensation. The Schilder technique was used to fill the root canal system.

-Happy to see in the postop film that multiple abberant inercommunications between both canals... check the attached postop x-ray

- The case was refered bk for the prothodontist
for composite buildup and crown fabrication .

Attachments: 33828483_10160342199135514_2893296605757177856_o

Missing

Joined: January 2017

Rank: Sergeant

Posts: 7

#2
Hi ahmed, nice case :)) , u lucky to treat central with  such rare anatomy.i want to ask u wether cbct shiwed one or two roots for this central? If u have different planes for cbct becuase guttapecha looks out of root in periiapical Xray

Attachments: 71eee14f-b086-4445-ba33-3634c77c91ed

23172421_10159465311435514_1368333093189869485_n

Joined: May 2017

Rank: Rookie

Posts: 3

#3
In reply to Reema .m.assaf Thank you for ur comment :) yes indeed the axial slices of cbct at the coronal level had shown an off centered one canal , and at the mid root level , the lumen of both canals start to disappear 

Attachments: 30412030_10160157342815514_3281939348027430311_n

Missing

Joined: January 2017

Rank: Sergeant

Posts: 7

#4
Ok,I meant other planes slices like sagittal or coronal ,do u have it ? If u can post it just to have an idea about root morphology or shape for this case .
Allen_ali_nasseh

Joined: August 2013

Rank: Faculty General

Posts: 259

#5
In reply to Ahmed Ezz Beautiful case Ahmed. Very well handled. I agree with Reema that it's great to have the opportunity to treat a case like this; but you handled it beautifully and got excellent results! Definitely case of the month. There's also a similar case in this month's JOE.  :) Al.