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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


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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