Exciting 1 year recall on a challenging case, which happens to be my first case. – This patient presented with an isolated periodontal probing to the apex at the MP of this fused mesio-palatal root, on a tooth that had RCT years before. – These fused roots often have missed canals / anatomy in the fused part of the root, which is often difficult to locate and treat, making retreatment particularly challenging. I spent the first visit troughing this area, looking for the MB2, which would be responsible for this specific lesion. It was not found. The previous treatment had also ledged / blocked both the mb and db canals. These canals were not recovered either. – My Gentlewave was delivered between visits so I used it at the second visit. Time was spent searching for the mb2 and trying to negotiate the mb and db canals with no luck. After running the GW I obturated with gutta percha and pulp canal sealer with warm vertical compaction. The MB2 was seen on the post-op CBCT splitting off from within the palatal canal. To my surprise, sealer also filled the DB canal to the apex. – The one year recall shows excellent healing. Periodontal probing is 3 mm

January 14th, 2020 | By admin | | Comments Off on Exciting 1 year recall on a challenging case, which happens to be my first case. – This patient presented with an isolated periodontal probing to the apex at the MP of this fused mesio-palatal root, on a tooth that had RCT years before. – These fused roots often have missed canals / anatomy in the fused part of the root, which is often difficult to locate and treat, making retreatment particularly challenging. I spent the first visit troughing this area, looking for the MB2, which would be responsible for this specific lesion. It was not found. The previous treatment had also ledged / blocked both the mb and db canals. These canals were not recovered either. – My Gentlewave was delivered between visits so I used it at the second visit. Time was spent searching for the mb2 and trying to negotiate the mb and db canals with no luck. After running the GW I obturated with gutta percha and pulp canal sealer with warm vertical compaction. The MB2 was seen on the post-op CBCT splitting off from within the palatal canal. To my surprise, sealer also filled the DB canal to the apex. – The one year recall shows excellent healing. Periodontal probing is 3 mm