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

0 comments

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

Heroic Retreatment of a Retreatment: Puzzle Case Part 2 Instructional, Complications: Advanced Management, Fractured Roots, Retreatment Strategies, Dismantling, Gutta Percha Removal, Recall Observations
Hidden Missed Canal Diagnosis, Access, Cleaning and Shaping, Complications: Advanced Management, Missed Canals, Retreatment Strategies
Retreatment of a Maxillary Premolar with 3 Roots Complications: Advanced Management, Missed Canals
Recall (5 Years): Radix Entomolaris Instructional, Cleaning and Shaping, Complications: Advanced Management, Recall Observations
20 year Recall of a Molar Tooth Having a Crown-Root Fracture Complications: Advanced Management, Fractured Roots, Recall Observations
Discovery of a Second Palatal Canal in a Maxillary Second Molar Post-endodontic Restoration, Complications: Advanced Management, Difficult Isolation