Edmond Endodontics

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CASE OF THE DAY 48 y/o male patient presents for and evaluation on tooth #13 and reports sensitivity to heat/cold. The preexisting crown on tooth #13 was approximately 10+ years old with apparent recurrent decay. Dr. Sullivan recommended decay removal and a root canal with post/core. The previous crown was removed to have full access, decay was excavated, isolation procedure was done, and access was made into the pulp chamber. Two canals were cleaned/shaped but through the ...microscope a third canal seemed to branch from the buccal canal that wasn’t visible on the pre-op film. The three canals were obturated with warm gutta percha/sealer and access was sealed with a resin bonded post and core. The final film indicates the two buccal canals join with one portal of exit. A rough crown prep was done to help his restorative dentist visualize the sub gingival extent of the core on the mesial. See more

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CASE OF THE DAY 90 y/o male patient presented with pain on tooth #32. The patient requested that Dr. Sullivan attempt to save the tooth. Tooth #32 tested necrotic and lesion was present. Made access through the crown, into the pulp chamber. Three canals were located, cleaned, and shaped. Canals were filled with warm gutta percha/sealer and the access was closed with a resin bonded core.

CASE OF THE DAY 44 y/o male patient presents for evaluation on tooth #20 that was treated with a root canal in 1998 with a radiolucent lesion at the apex. The crown was replaced approximately three years ago. When tested, #20 responded + to percussion. Dr. Sullivan recommended a root canal retreatment on tooth #20. Access was made, previous post was removed with an ultrasonic instrument. Previous obturation materials were removed. The single canal was then cleaned and shaped. There was a ledge where the previous obturation terminated, and Dr. Sullivan was able to get back into clean/shape the remaining original canal. The canal was obturated with warm gutta percha and sealer. A carbon fiber post was placed along with a resin bonded core. A new crown was recommended on this tooth.

CASE OF THE DAY 66 y/o male patient presents for evaluation on tooth #20 with a lesion at the apex on the radiograph. The current bridge is approximately 18-20 years old and the patient’s general dentist plans to replace the bridge in the near future. The tooth in question is currently asymptomatic. When pulp tested, #20 responded + to percussion and palpation with no response to cold. A root canal was recommended. Made access through the bridge and into the pulp chamber. The canals were located, irrigated with hypochlorite and ultrasonic activation, then filled with gutta percha and sealer. A core was placed etching and bonding to porcelain as well as access cavity. After the post op film was taken, it’s noted that there are multiple portals of exit.