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Zeyad M. Al- Garawi, B.D.S .

Saudi Commission For Health Specialties Saudi Specialty Certificate in Endodontics [SSC-Dent (Endo )]-R2. Zeyad M. Al- Garawi, B.D.S . Case 1. Patient’s Data. Age: 35 years Old Sex: Male Nationality: Saudi Occupation: Gov. Employee.

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Zeyad M. Al- Garawi, B.D.S .

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  1. Saudi Commission For Health SpecialtiesSaudi Specialty Certificate in Endodontics[SSC-Dent (Endo)]-R2 Zeyad M. Al-Garawi,B.D.S.

  2. Case 1

  3. Patient’s Data Age: 35 years Old Sex: Male Nationality: Saudi Occupation: Gov. Employee

  4. Related dental history: Tooth # 4 received pulp extirpation and separated instrument during instrumentation.

  5. Clinical Examination Extra-oral Examination: No Facial Swelling. No lymph Nodes involved. • Intra-oral Examination:

  6. Clinical Evaluation • Diagnostic Tests

  7. Clinical Evaluation • Periodontal Examination

  8. Radiographic Examination

  9. Access Cavity

  10. After removal of broken inst.

  11. Working length

  12. Cone

  13. After obturation

  14. Final

  15. Final

  16. Case 2

  17. Patient’s Data Age: 10 years Old Sex: Male Nationality: Saudi Occupation: Student

  18. Related dental history: Tooth # 9 received trauma several months ago, fractured and never been treated by dentist.

  19. Clinical Examination Extra-oral Examination: No Facial Swelling. No lymph Nodes involved.

  20. Clinical Examination Intra-oral Examination: Oral hygiene was poor. Tooth # 9 with complicated fracture. Tooth # 8 with non complicated fracture and Class IV composite restoration. Tooth # 10 is sound.

  21. Clinical Evaluation • Diagnostic Tests

  22. Clinical Evaluation • Periodontal Examination

  23. Radiographic Examination

  24. Radiographic Examination Alveolar bone Apical radiolucency related to # 9, with no evidence of alveolar bone fracture. Apex Immature open apex. Root Thin Parallelroot walls. No evidence of root fracture. Crown Fractured incisal edge.

  25. Diagnosis • Pulpal • Necrotic pulp • Periapical • Chronic Apical Periodontitis • Periodontal • Gingivitis

  26. Prognosis • Good Treatment Plan • Endodontic • Apexification by: Long-term Ca(OH)2 , or Short-term Ca(OH)2. and Obturation. • Revascularization. • Restorative • Composite resin restoration.

  27. Access Cavity

  28. Working Length

  29. Application of Ca(OH)2 for 1 Month 1 month after Ca(OH)2 application

  30. MTA Application

  31. Post-operative

  32. Post-operative

  33. Thank You

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