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Isolation and Build-Up of Extensive Subgingival Caries

Terry Pannkuk, DDS, MScDPost-endodontic Restoration, Complications: Advanced Management, Difficult Isolation, All by Date

Description

Microphoto showing rubber dam isolation after completed root canal treatment and the distal Dycal matrix prior to placement of the bonded amalgam core

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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.

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