Instructional Dental Case Studies - Pure Dental Learning

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Endodontic Treatment Challenges of Complex Anatomy

The prevention of tissue and debris blockage is especially important when treating complex root anatomy. In this case the author demonstrates the treatment of a radix entomolaris root anomaly

The Dangerous Curved Root

Certain presentations of root anatomy require serious attention to detail to prevent mishaps. A case like this one showing a long curved narrow root is a good example.

Patient: 57 year-old female with controlled Type 2 Diabetes

Chief Complaint: Patient complained of a constant throbbing toothache in the lower right posterior jaw. She reported 5/10 pain level and presented for emergency treatment

Retreatment of a Maxillary Premolar with 3 Roots

Missed Canals, Missed Canals
Mar 11, 2021

Finding a Severely Calcified Canal

Calcification
Feb 22, 2021

Discovery of a Second Palatal Canal in a Maxillary Second Molar

Difficult Isolation, Difficult Isolation
Jan 4, 2021

The Aggressive Shoulder Crown Preparation

Difficult Isolation, Difficult Isolation, Missed Canals, Missed Canals
Dec 31, 2020

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Instructional

Treatment of a Gross Perforation

Access, Access, Perforations, Perforations
Jul 1, 2020

UPDATE 1 year Recall: Mandibular First Molar Presumed Split, but not.

Fractured Roots, Endo-Perio Combined Lesions
Nov 11, 2019

21 Year Recall: Internal Perforation Repair with Amalgam

Endo-Perio Combined Lesions, Perforations
Nov 4, 2019

Failed External Resorption Treatment Corrected with Surgery

Resorption Management
Oct 28, 2019

Detecting a Challenging Root Anomaly: Conclusion to Puzzle

Oct 21, 2019

Creative Dycal Use for Aseptic Isolation and Post-endodontic Restoration

Oct 14, 2019

All by Date

The Furcation Accessory Canal

Calcification, Calcification, Endo-Perio Combined Lesions, Endo-Perio Combined Lesions
Sep 26, 2020

Treatment of a Gross Perforation

Access, Access, Perforations, Perforations
Jul 1, 2020

Five Year Follow-Up of Heroic Anterior Tooth Save:UPDATE

Fractured Roots, Surgical Retreatment, Dismantling, Gutta Percha Removal
Nov 18, 2019

UPDATE 1 year Recall: Mandibular First Molar Presumed Split, but not.

Fractured Roots, Endo-Perio Combined Lesions
Nov 11, 2019

21 Year Recall: Internal Perforation Repair with Amalgam

Endo-Perio Combined Lesions, Perforations
Nov 4, 2019

Failed External Resorption Treatment Corrected with Surgery

Resorption Management
Oct 28, 2019

Clinical Endodontic Technique Instruction

Treatment of a Gross Perforation

Access, Access, Perforations, Perforations
Jul 1, 2020

Creative Dycal Use for Aseptic Isolation and Post-endodontic Restoration

Oct 14, 2019

Gemnation: Complicated Endodontic Treatment Management

Diagnosis, Difficult Isolation
Aug 5, 2019

Hidden Split in a Mandibular Central Incisor

Diagnosis, Fractured Roots
Jul 15, 2019

Puzzle Case: Draining Fistula Associated with a Vital Pulp

Diagnosis
Jun 24, 2019

Defending Against Coronoapical Leakage

Feb 25, 2019

Complications: Advanced Management

The Furcation Accessory Canal

Calcification, Calcification, Endo-Perio Combined Lesions, Endo-Perio Combined Lesions
Sep 26, 2020

Treatment of a Gross Perforation

Access, Access, Perforations, Perforations
Jul 1, 2020

Five Year Follow-Up of Heroic Anterior Tooth Save:UPDATE

Fractured Roots, Surgical Retreatment, Dismantling, Gutta Percha Removal
Nov 18, 2019

21 Year Recall: Internal Perforation Repair with Amalgam

Endo-Perio Combined Lesions, Perforations
Nov 4, 2019

Failed External Resorption Treatment Corrected with Surgery

Resorption Management
Oct 28, 2019

Detecting a Challenging Root Anomaly: Conclusion to Puzzle

Oct 21, 2019

Diagnostic Puzzles

Five Year Follow-Up of Heroic Anterior Tooth Save:UPDATE

Fractured Roots, Surgical Retreatment, Dismantling, Gutta Percha Removal
Nov 18, 2019

UPDATE 1 year Recall: Mandibular First Molar Presumed Split, but not.

Fractured Roots, Endo-Perio Combined Lesions
Nov 11, 2019

Detecting a Challenging Root Anomaly: Conclusion to Puzzle

Oct 21, 2019

Conclusion of Puzzle Case: Complexities Treating a Molar Tooth having a Root Amputation

Endo-Perio Combined Lesions
Oct 7, 2019

Puzzle Case: Why the Fistula?

Sep 16, 2019

Puzzle Case: Silver Point Retreatment Part 1 and Part 2 (Conclusion)

Perforations, Silver Point Removal
Sep 9, 2019

Endo Implantology

Emergency Pain Associated with Tooth Treated with Endodontics Many Years Ago

Perforations, Dismantling
Jun 3, 2019

3 1/2 Year Recall with Symptoms

Feb 12, 2018

Removing a Broken Implant Abutment from a Morse Taper

Feb 5, 2018

Recall (20 Year): Cleared Tooth Bridge Abutment Deconstruction (cleared root sections courtesy of Dr. Craig Barrington)

Nov 27, 2017

Retreatment Failure Deconstructed

Endo-Perio Combined Lesions
Jul 10, 2017

Platele Rich Fibrin and Osseous Ridge Augmentation.

Jun 12, 2017

Post-endodontic Restoration

Creative Dycal Use for Aseptic Isolation and Post-endodontic Restoration

Oct 14, 2019

Endodontic Treatment of a Molar with Gross Caries: Demonstration

Access, Cleaning and Shaping, Obturation, Difficult Isolation
Jan 14, 2019

Follow-Up Treatment after Endodontics: Posed Discussion

Dec 24, 2018

Extending Endodontic Access to Find Canals

Access, Calcification
Nov 12, 2018

Isolation and Build-Up of Extensive Subgingival Caries

Difficult Isolation
May 21, 2018

Borderline Restorability

Difficult Isolation
Apr 16, 2018

Recall Observations

The Furcation Accessory Canal

Calcification, Calcification, Endo-Perio Combined Lesions, Endo-Perio Combined Lesions
Sep 26, 2020

Five Year Follow-Up of Heroic Anterior Tooth Save:UPDATE

Fractured Roots, Surgical Retreatment, Dismantling, Gutta Percha Removal
Nov 18, 2019

UPDATE 1 year Recall: Mandibular First Molar Presumed Split, but not.

Fractured Roots, Endo-Perio Combined Lesions
Nov 11, 2019

21 Year Recall: Internal Perforation Repair with Amalgam

Endo-Perio Combined Lesions, Perforations
Nov 4, 2019

Failed External Resorption Treatment Corrected with Surgery

Resorption Management
Oct 28, 2019

Puzzle Case: Silver Point Retreatment Part 1 and Part 2 (Conclusion)

Perforations, Silver Point Removal
Sep 9, 2019

Regeneration / Revascularization

Long Term Recall of an Endodontically Treated Molar Treated during the Mixed Dentition Stage

Oct 2, 2017

Stalled Revascularization

Trauma Management
Jun 6, 2016

Retreatment Strategies

Five Year Follow-Up of Heroic Anterior Tooth Save:UPDATE

Fractured Roots, Surgical Retreatment, Dismantling, Gutta Percha Removal
Nov 18, 2019

21 Year Recall: Internal Perforation Repair with Amalgam

Endo-Perio Combined Lesions, Perforations
Nov 4, 2019

Compromised Maxillary Molar: Should you Treat?

Difficult Isolation, Dismantling
Sep 30, 2019

Puzzle Case: Silver Point Retreatment Part 1 and Part 2 (Conclusion)

Perforations, Silver Point Removal
Sep 9, 2019

Fiber Post Drill-Out on an Abscessed Bicuspid with a New Crown

Dismantling
Sep 2, 2019

Gross Perforation Repair of Molar: 10 year Recall Exam

Perforations, Dismantling, Gutta Percha Removal
Aug 12, 2019