This lady came in on Friday 25.02.05 and needed the LL4 root treated. Duly done in single visit. The preparation was K3 40/06 and lateral condensation of GP with AH plus. The x-rays allowed me to compare my standards of treatment. The LL7 was treated in 1993, the LL6 in 2003,and the premolars Nov 2004, and Feb 2005. I am none too proud of the two molars .The quality of my treatment after joining compared to before bears no comparison...... LL4 ROOT
Chances are this could be a root fracture right? 10mm pocket on straight mesial and 7mm on ml. Patient really motivated to try to save the tooth and knows it might not work. This is one of those situations where 2 visits is a nice approach. No fx seen on access. Cleaned/shaped placed the white stuff. All pain went away after first visit. Finished it today-he said he’s a new man 10mm pocket
I zoom in on the pictures sent to me and let my mind absorb everythingthat is to be noticed :
- It is difficult to judge the depth of the final clean cavity contour
without a radiograph, probably crown lengthening was not necessary
- Isolation was adequate and apparently served its purpose
- The interdental dam septum was torn by accident or on purpose,
I can not judge. Maybe this could have been avoided by separating
the two teeth a bit more with a fine diamond prior to installing the dam.
......... Isolation technique
Another maxillary second molar, deep division but no scope...snifff....snifff... 18 years old patient with orthodontic treatment Maxillary second molar
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