Isolation and Build-Up of Extensive Subgingival Caries

Terry Pannkuk, DDS, MScD Post-endodontic Restoration, Complications: Advanced Management, Difficult Isolation

Learn how to maintain an aseptic field and develop a proper matrix for a core during root canal treatment.

Case: Patient presenting with extensive subgingival caries and a need for root canal treatment

Patient: 63 year old male with high blood pressure, type II diabetes, and high cholesterol
Chief Complaint: Constant pain and biting sensitivity
Dental History: An old composite restoration "debonded" in the distal box area with extensive class 2 distal caries extending deep into the root resulting in a pulp exposure.

Sign In

Subscribe to View the Case

There are 6 images included with this case summary.

Back to All Cases

Join The Discussion


Commenting Guidelines Please make scholarly cited references or expert opinions suitable for publication. The comments can either be "pro" or "con" with references to the treatment philosophy. We encourage objectivity and detailed demonstration of knowledge/literature.
You must log in or create a free account to post a comment.

Related Cases

An Extremely Challenging Root Anomaly: Radix Entomolaris Instructional, Clinical Endodontic Technique Instruction, Diagnosis, Complications: Advanced Management
Active Nonsurgical Decompression Technique for the Healing of Large Periapical Cystic Lesions Difficult Isolation, Regeneration / Revascularization, Endo Implantology
Finding a Severely Calcified Canal Instructional, Complications: Advanced Management, Calcification
Master Class Instructional on Managing Calcified Canals Instructional, Clinical Endodontic Technique Instruction, Access, Complications: Advanced Management, Calcification
Management and Follow-Up of the Combined Perio-Endo Lesion Instructional, Complications: Advanced Management, Endo-Perio Combined Lesions, Retreatment Strategies, Dismantling, Recall Observations
Restrictive Access which had Led to Perforation Complications: Advanced Management, Perforations, Recall Observations