Clinical Case presention Presented by : Dr. Reem Alharbi (( ssc -Dent(Endo board ))

1. Clinical Case presention Presented by: Dr. ReemAlharbi ((ssc-Dent(Endo board ))

2. Case 1

3. Patient personal data • Saudi patient. • Sex: female • Age: 38year.

4. C.C: (Iwant to do treatment for my tooth) History of C.C: -pulp extripation before 1year -no pain

5. Extra-oral: WNL • Intra-oral: WNL.

6. Medical condition: N.A.D • Past medical history: Nothing significant. • Allergy: None. • Nature of pain: No pain

7. Clinical examination: poorOH, moderategingivitis, multiplerestoration

8. Diagnostic procedures: Tooth # 30

9. Pre operative radiograph

11. Diagnosis: -Pulpal: (pulpless). -Periapical: (Chronic PeriradicularPeridontitis)Etiology: -caries. TX. Plan: -Endodontic: Non-surgical RCT -Restorative: cast post &crown Prognosis good

12. Access Cavity

13. Studies of apical canal configurations for the Distal Root of the mandibular First molar authers one canal (%) two canals(%)

14. Initial WL

15. MAF

17. Recall one month

19. Biomechanical Data

20. BEFOREAFTER

22. Case 2

23. Patient personal data • Saudi patient. • Sex: female • Age: 15 year.

24. C.C: (Iwant to do Root canal treatment for my tooth) • History of C.C: -pulp extripated

25. Extra-oral: WNL • Intra-oral: WNL.

26. Medical condition: N.A.D • Past medical history: Nothing significant. • Allergy: None. • Nature of pain: No pain

27. Clinical examination: • good OH, mild gingivitis, simple restoration

28. Diagnostic procedures: Tooth # 18

29. Pre operative radiograph

30. Diagnosis: -Pulpal: (pulpless). -Periapical: (Chronic PeriradicularPeridontitisEtiology: -caries. TX. Plan: -Endodontic: Non-surgical RCT -Restorative: cast post &crown Prognosis: -good

31. Access Cavity

32. Irrigation solution: • NaOCl& flushing withsaline. • Calcium hydroxide dressing b/w visite

34. The Schneider method 1971(measure canal angulation).. Weine1982(determining canal angulation (

35. Cary J. Cunningham,1992 Technique used for determining primary root canal curvaturein the clinical view. Points a to b, long axis of root canal to point ofcanal deviation from long axis. Point c, apical foramen. Angle ismeasured at the intersection of lines a and b and b and c. Vector 1is the direction of transport during instrumentation

36. Degree of canal curvature determined according tomethod of Pruett et al. (1997). Radius of curvature (R) andangle of curvature (a) were the parameters taken intoaccount in describing canal geometry of samples used in thisstudy. Angle of curvature is determined, using a circle gauge,of the angle formed by the line that intersects the circle centre. Points a and b are the points where the canal deviatesfrom the straight lines at the beginning and end of the curvedpath of the canal. Angle a is the angle formed by the arc indegrees between points a and b. The `R' is the circle's radius ofthecurved portion of the artificial canal and defines the degree of the curve's abruptness.

37. Initial WL

38. Biomechanical Data

41. BEFOREAFTER

44. Thank you