- Case of the day
Patient came to our hospital with pulpotec restoration on lower 6 and the tooth shows alot of signs and symptoms & peri apical pathosis related to mesial and distal roots , by radiographic and clinical examination it revealed that :
1-broken file found in mesiobuccal root
2-ledge in mesiolingual root
3- calcification and ledge in distobuccal root
Ttt:
-Bybassing MB broken file then overcoming calcification of DB and two ledges in DB&ML canals &finally obturating 4 canals successfully by using gutta percha and bioceramic sealer
Preoperative
Access cavity
Broken file bypass in MB canal
Ledge in ML, Ledge and calcificaton in DB.
ML ledge bypass
DB ledge bypass ,calcification mangement , master cone
Obturation with single cone and bioceramic sealer
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