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User Submitted Cases

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User Submitted Cases: Internal resorption - UR2 tooth

20170913_224658(0)-1

Joined: October 2017

Rank: Officer

Posts: 5

#1
Patient complains of an occasional swelling lasting a few days that fluctuates in size near the gums of the UR2. Asymptomatic, no response to thermal and electric stimuli and no mobility. X-ray shows PA lesion and internal resorption. CBCT taken to map the extent of the internal resorption and to evaluate the possible presence of a perforation. Surprisingly the tooth bled upon entry. One visit treatment. XP finisher file and sonic activation of irrigatnts used . Cut made into the BC GP 2mm from the end. GP coated in BC sealer at the tip and 2mm end. Inserted into canal and binds at the apex. GP twisted and 2mm end detaches from the rest of the cone. This created an apical seal. BS sealer tip inserted into canal close to the internal resorptive defect and injected. Rest of the GP inserted back into canal to push sealer into all the areas. Resin modified coronal seal completed.

Attachments: 20160814_183606 2017-10-24_05.16.54 2017-10-24_05.16.15 2017-10-24_05.20.04 2017-10-24_05.20.41 2017-10-24_05.14.23

Allen_ali_nasseh

Joined: August 2013

Rank: Faculty General

Posts: 243

#2
In reply to ali al-ausi Great job Ali! This is a very well done case and I like how you managed to get adequate cement to fill the defect! Also, this is exactly where 3D instrumentation shine, in these specific type of cases where conventional instrumentation will not have a chance to do the job! 
Get a follow up of the healing and share it here too! Would love to see that!  Cheers! :) ali
20170913_224658(0)-1

Joined: October 2017

Rank: Officer

Posts: 5

#3
In reply to Allen Ali Nasseh Many thanks for the compliments. I learned all the techniques to complete such a case from your videos. Through your presentations I was able to learn about XP finisher files, BC sealers and partially cutting the GP before introducing into the canal and separating it inside the canal to create a post space. Although no post was used for this case I used the same concept to create an apical GP plug to prevent extrusion of BC sealer apical while I inject into the defect. Keep those useful videos coming and share more great ideas and tips.
Allen_ali_nasseh

Joined: August 2013

Rank: Faculty General

Posts: 243

#4
In reply to ali al-ausi Great job Ali! You're a fast learner. That's for sure! :)
Cheers.
Al.