Safely Learn how to Treat a Completely Calcified MB2 System
Saturday, April 29th
Contemporary Root Canal Obturation: Evolving Concepts, Materials, and Techniques
CDE CREDIT: 2 | DURATION: 2 hours
Saturday, April 29th
Dr. Jianing He DMD, PhD
CDE CREDIT: 2 | DURATION: 2 hours
"The Devil is in the Details" - Ludwig Mies Van Der Roh
Meticulous debridement of the entire root canal system is important for a predictably successful endodontic treatment result.
Patient: 70 year-old female (time of treatment, 84 year-old at recall), history of breast cancer and managed hypertension, pacemaker (2018)
Chief Complaint: 10/2/2006: cold and biting sensitivity localized to the mandibular right first molar (#30)
Dental History: The patient presented with the said symptoms on 10/2/2006 after having a crown procedure started 3 months earlier, a temporary crown had been placed (#30).
Significant Findings (#30): Clinical examination revealed a 4mm periodontal pocket at the mesiolingual area, slight percussion sensitivity, and a sharp-transient response to cold thermal testing. The periapical and horizontal/bitewing radiographs demonstrated severe pulp chamber calcification, and an incipient furcation radiolucency.
Pulp and Periradicular Diagnosis (#30): Stressed pulp with calcific degeneration, acute periapical periodontitis.
The DB-P fused root poses special endodontic treatment challenges
Patient: 65 year-old male with controlled hypertension and an allergy to penicillin
Chief Complaint: cold and biting sensitivity
Dental History: The patient presented with a history of tooth sensitivity of 2 weeks duration. There were no recent dental restorations and the sensitivity was localized to the maxillary left first molar (tooth #14)
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