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Endodontic clinical case presentation 1

Endodontic clinical case presentation 1. Prepared by Dr .hisham al- zaidan. Personal Data. Age : 22 years old Gender : female Nationality : Saudi Marital status : Single Personality : Positively cooperative

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Endodontic clinical case presentation 1

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  1. Endodontic clinical case presentation 1 Prepared by Dr .hisham al-zaidan

  2. Personal Data • Age: 22 years old • Gender: female • Nationality: Saudi • Marital status: Single • Personality : Positively cooperative • Date started: 15 November 09 • Date finished: 15 November 09

  3. Medical Status Medical History • Significant medical problems: None • Medications: None • Allergic reactions: None Family Medical History • Significant family history: None

  4. Subjective Dental chief complaint“I want to finish fixing my teeth” History of chief complaint 4 Years earlier had a lot of dental treatment

  5. Objective • Extra-oral • Facial swelling NAD • Lymph node NAD • Soft tissue NAD • Intra-oral • Swelling none • Clinical crown #47 RCT initiated , TF

  6. Tooth exam

  7. Periodontal exam

  8. Radiographic findings

  9. Diagnosis • Pulpal Pulpless • Periradicular AAP

  10. Treatment plan • Endodontic treatment plan • RCT #47 • Periodontal treatment plan • none • Restorative treatment plan • Composite restoration and PFM crown

  11. Biomechanical data#47

  12. Access

  13. Pre operative x-ray survey

  14. Initial file

  15. Master GP cone

  16. Final condensation survey

  17. Issues for discussion • Handling un retrievable separated instrument in this case: 1-By passing the broken instrument. 2-Enlarging the canal by using SS K type files , step back prep , with extreme precaution. 3-Using WVC to obturate the canal.

  18. Using flowingsealerand softengutta-perchaaround and beyond the file proved effectiveness in maximizing the sealing patterson et al 1979

  19. The replication ability (filling fine details)of WVC is superior to both CLC & TMC peters et al 1981

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