On the MB2 trail

A carious exposed 16 requiring Endodontic treatment.

Initial working length determination using hand files.

Closer inspection of pulpal floor reveals another Mesiobuccal orifice. A faint canal can also be seen on radiograph.

The incidence of MB2 canal in Maxillary Ist & 2nd Molars is quite high and time should be devoted to to its location and treatment. 

Both MB canals have been located. It exibits a Type III  canal anatomy.

Post obturation radiograph .Protaper rotary files were used for canal preparation. 

Post obturation radiograph taken from another angle to see better separation of canals. 

Wrong turn !

A patient reports with symptoms of  pulpitis and apical periodontitis in 47. The tooth has a # filling.

 An obstruction is encountered in  the apical third of distal canal.

A precurved file and tactile feeling help negotiate a sharp distal bend in the apical third.

The distal canal is prepared by hand filing in the  apical third and Protaper rotary in coronal and middle third.

Mesial root has a Type II canal anatomy and is prepared with Protaper rotary files.

                                               

After final Obturation using 6% G.P.as master cone and lateral condensation technique.

LOWER 1st MOLAR WITH 3 ROOTS (RADIX ENTOMOLARIS)

carious exposed 36 with 2 distinct distal roots(Radix Entomolaris)

post obturation radiograph.

                                 ENDODONTIC RETREATMENT

                       28yr/ M with poorly obturated 36.

after Endodontic retreatment. 2 distal canals can be clearly seen.

                           PROTAPER ROTARY ENDODONTICS

16 yr. old female with large restoration over exposed pulp in 26.  She has symptoms of apical periodontitis( tenderness to percussion and difficulty in biting). Periapical changes can be seen over disto-buccal root.

Biomechanical preparation is achieved with Protaper(rotary) and copious irrigation.

The tooth is obturated when it is asymptomatic. 

28 yr. old male with incomplete RCT in 36. The restoration sealing access cavity is broken. Remaining caries can also be seen.

After completion of endodontic treatment.

18 yr./F with amalgam restoration in 26. The restoration was done on exposed pulp chamber and the cement base can be seen extruding into it.

After completion of Endodontic treatment with Protaper(rotary).

25 yr./F with carious exposure of 36.

After obturation.

                    36 with PA radiolucency.

              After Endodontic treatment. 2 distal canals can be seen.