Cool Cases Archives | Page 5 of 5 | Renovo Endodontic Studio
UNUSUAL RETREATMENT -
DENTAL ANATOMY:
Dental anatomy:

Dental anatomy 6

Both of these teeth were treated at our office at 2 different times. Tooth #3 (on the right) was treated today while tooth #2 (on the left) was treated previously. Taken together, there are 9 canals between the 2 of them!! Pretty cool cases…we would have like to negotiate one of the canals on tooth #3 (the MB2) as it was non-patent; however we still feel that this represents a very favorable endodontic result!   […]

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ATYPICAL MORPHOLOGY –

ATYPICAL MORPHOLOGY –

These teeth from two patients this week were initially started by the restorative dentist. After careful debridement, the dentists noted that there were likely additional canals and referred the patients to Renovo. Interestingly, these teeth actually had three canals that split and merge at various levels of the teeth. A favorable outcome is anticipated and these cases demonstrate the benefit and need for microscope-aided endodontics. Aside: Most endodontists actually find the mandibular premolar (rather than a molar) to be the most challenging tooth to treat due to the prevalence of this type of complex anatomy in a relatively confined space. […]

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ATYPICAL ANATOMY

ATYPICAL ANATOMY

This case represents a rare anatomic variant of a tooth anatomy much more commonly seen in the mandible: “c-shape”. Because the maxillary variant often has fused roots with DB/P canals that join very early in the pulp chamber with a separate MB canal that joins near the apex, some refer to this rare tooth as having a “semi-colon” anatomy. Take a look at the clinical photograph; can you see the semi-colon? […]

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TOOTH RESORPTION:

TOOTH RESORPTION:

This one is interesting. This patient winds up in our office for a 3rd opinion because the tooth had been condemned for extraction. After careful discussion with both patient and restorative dentist, we were able to identify that the resorption process was still above the level of the bone. Osseous crown lengthening was discussed as a potential requirement for an adequate restoration. We were able to completely degranulate the resorption tissue using the endodontic microscope, treat the area with acid, and repair with defect from within the endodontic access. Additionally, we placed a fiber reinforced post so that the restorative […]

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Dental Anatomy:

Dental Anatomy 5

It is only Tuesday and here is a sampling of cases that have come through this week. We demonstrate bifurcations, middle mesial canals, radix entomolaris, significant curvatures. All of these are examples of anatomical considerations when rendering root canal therapy in order to maximize disinfection and long term success. Turkey Day is just around the corner!!   […]

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Dental Anatomy