Case Studies
Case #1
Patient presented for evaluation of lower right side. Pt reports having pain to biting and chewing.
Tested teeth #’s 30, 31, 31 tested (+)perc, (+)biting, (-)palp, no response to cold.
#31
Periradicular dx: symptomatic apical periodontitis
pulpal dx: necrotic
Treatment : Root canal was completed on tooth # 31, anatomy was funky!
Pre Op #31
Post Op #31
Case #2
Patient presented for retreatment of tooth #30
(+)perc, (-)palp, previous RCT
CBCT scan taken, (+)PAP MB root, short fill on mesial and distal roots
#30
Apical: symptomatic AP
Pulpal: previously treated
Retreatment was completed in two visits, patient felt great after first visit.
Retreatment was uneventful.
Pre Op #30
Post Op #30
Case #3
Pt presented for retx # 8. CBCT scan taken, large PAP on 8 and open resorbed apex noted.
# 8 (+)perc, (+)palp, previous RCT, (+)PAP
#08
Periradicular Dx: symptomatic apical periodontitis
Pulpal dx: previously treated
Pre Op #8
Post Op #8
6 Month Re-call #8
1 Year Re-call #8
Case #4
Patient presented for retreatment # 30
(+CBCT scan taken, (+)PAP on both mesial and distal roots, missed DL canal
# 30 (+)perc, (-)palp, previous RCT
#30
Apical: symptomatic AP
Pulpal: previously treated
Retreatment was completed in two visits and was uneventful.
Pre Op #30
Post Op #30
Case #5
Patient presented for RCT # 15
# 15 (-)perc, (-)palp, no response to cold, (+)PAP
#15
Apical: asymptomatic AP
Pulpal: necrotic
RCT was completed and was uneventful.
Pre Op #15
Post Op #15
Case #6
# 19 (-)perc, (-)palp, no response to cold
#19
Apical: symptomatic AP
Pulpal: necrotic
RCT was completed in one visit using bioceramics. Treatment was uneventful.
Pre Op #19
Post Op #19
Case #7
A 12 year old boy presented with dad for eval # 29
# 29 (-)perc, (-)palp, lingering to cold, open apex
#29
Periradicular Dx: normal
Pulpal: irreversible pulpitis
Pre Op #29
Post Op #29
6 Month Re-call #29
Partial pulpotomy was completed, BC putty placed with IRM. Pt referred to his GP for permanent restoration. Pt was reevaluated in 6 month, root appeared more developed and slightly more closed than before, another reeval recommended in 6 months.