North Texas Dentistry Volume 5 Issue 8

PRE-OP POST-OP 1 Case #1 Tooth #30 Medical History: High Blood Pressure, Mitral Valve Prolapse Pulpal Diagnosis: Irreversible pulpitis Periradicular Diagnosis: Symptomatic Apical Periodontitis Clinical findings: Large DO composite filling Anesthesia: Inferior Alveolar Nerve Block, 2x1.8 ml carpule (72 mg) 2% Lidocaine, 1:100K epi (0.036 mg) Dental Dam Isolation Access: Endo Access Kit (Dentsply Tulsa) 3 canals located Working Length: ProMark® Apex Locator Glide Path: PathFile® Rotary Files (Dentsply Tulsa) Instrumentation: TRUShape® 3D Conforming Files #25/06 Irrigation: Phase One: Passive irrigation with 6% NaOCl Pro Rinse needle Phase Two: Activate irrigation Q-Mix + Endo Activator Obturation: Warm Vertical + ThermaSeal® Plus Ribbon® Sealer Case #2 POST-OP 2 CASE 3 Tooth #31 Pulpal Diagnosis: Pulpal Necrosis Periradicular Diagnosis: Symptomatic Apical Periodontitis Clinical findings: Full coverage crown Anesthesia: Inferior Alveolar Nerve Block, 2x1.8 ml carpule (72 mg) 2% Lidocaine, 1:100K epi (0.036 mg) Dental Dam Isolation Access: Endo Access Kit (Dentsply Tulsa) 3 canals located Working Length: ProMark® Apex Locator Glide Path: PathFile® Rotary Files (Dentsply Tulsa) Instrumentation: TRUShape® 3D Conforming Files #25/06 Irrigation: Phase One: Passive irrigation with 6% NaOCl Pro Rinse needle Phase Two: Activate irrigation Q-Mix + Endo Activator Obturation: Warm Vertical + ThermaSeal® Plus Ribbon® Sealer Case #3 69 y.o. caucasian patient referred with pain and discomfort upon chewing on upper left quadrant. During clinical evaluation, we were able to reproduce the patient’s symptoms on the maxillary second molar. After discussing all the different treatment options, opted for root canal therapy. CASE 3 POST-OP Tooth #15 Medical History: Artificial joint (elbow) 3 years ago Pulpal Diagnosis: Pulpal Necrosis Periradicular Diagnosis: Symptomatic Apical Periodontitis Clinical findings: Full coverage crown Anesthesia: buccal and palatal infiltration, 2x1.8 ml carpule (72 mg) 2% Lidocaine, 1:100K epi (0.036 mg) Dental Dam Isolation Access: Endo Access Kit (Dentsply Tulsa) 4 canals located (MB1 & MB2 joined coronally) Working Length: ProMark® Apex Locator Glide Path: ProGlider™ Rotary Glide Path File Instrumentation: Wave One Gold (Primary) Irrigation: Phase One: Passive irrigation with 6% NaOCl Pro Rinse needle Phase Two: Activate irrigation Q-Mix + Endo Activator Obturation: Warm Vertical + ThermaSeal® Plus Ribbon® Sealer www.northtexasdentistry.com | NORTH TEXAS DENTISTRY 17

North Texas Dentistry Volume 5 Issue 8 | Page 17