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ROOT CANAL TREATMENTS

DR.NABILA NAYEEM
CASE PRESENTATION 1
PATIENT NAME:S.SATYANARYANA REDDY
DATE OF CASE STARTED:27-12-2017
CHIEF COMPLAINT:PATIENT C/O PAIN IN UPPER RIGHT BACK REGION OF
MOUTH SINCE 4 MONTHS.
MEDICAL HISTORY:NO RELEVANT HISTORY
CLINICAL EVALUATION:
DEEP CARIES IRT 18
CHRONIC IRREVERSIBLE PULPITIS IRT 14,15,16,24,25,26,46
CERVICAL ABRASION IRT 22,34,47
DIAGNOSIS:
PULPAL:CHRONIC IRREVERSIBLE PULPITIS IRT 14,15,16,24,25,26,46
PERIRADICULAR:APICAL PERIODONTITIS IRT 14,15,16,24,25,26,46
TREATMENT PLAN: ADVICE RCT IRT 14,15,16,24,25,26,46
ADVICE EXTRACTION IRT 18
ADVICE TOOTH COLOURED RESTORATION IRT
22,34,47
ADVICE METAL CERAMIC CROWN.
CLINICAL PROCEDURES:
TREATMENT RECORD:14
PREOPERATIVE X-RAY:

CANAL WORKING APICAL SIZE OBTURATION MATERIAL-TECHNIQUE


LENGTH
BUCCAL 21mm 0.2mm Single cone technique,zoe sealar,hot
vertical condensation.

PALATAL 21mm 0.2mm Single cone technique,zoe sealar,hot


(protaper vertical condensation.
system)
WORKING LENGTH DETERMINATION:

MASTER CONE X-RAY: POST OPERATIVE X-RAY


CASE PRESENTATION 2
PATIENT NAME:S.SATYANARYANA REDDY
DATE OF CASE STARTED:XXXXX
CHIEF COMPLAINT:PATIENT C/O PAIN IN UPPER LEFT BACK REGION OF
MOUTH.
MEDICAL HISTORY:NO RELEVANT HISTORY
CLINICAL EVALUATION:
DEEP CARIES IRT 8
CHRONIC IRREVERSIBLE PULPITIS IRT 14,15,16,24,25,26,46
CERVICAL ABRASION IRT 22,34,47
DIAGNOSIS:
PULPAL:CHRONIC IRREVERSIBLE PULPITIS IRT 14,15,16,24,25,26,46
PERIRADICULAR:APICAL PERIODONTITIS IRT 14,15,16,24,25,26,46
TREATMENT PLAN: ADVICE RCT IRT 14,15,16,24,25,26,46
ADVICE EXTRACTION IRT 18
ADVICE TOOTH COLOURED RESTORATION IRT
22,34,47
CLINICAL PROCEDURES: RCT followed by Metal Ceramic Crown Int
TREATMENT RECORD:24
PREOPERATIVE X-RAY:

CANAL WORKING APICAL SIZE OBTURATION MATERIAL-TECHNIQUE


LENGTH
BUCCAL 19mm 0.2mm Single cone technique,zoe sealar,hot
vertical condensation.

PALATAL 19mm 0.2mm Single cone technique,zoe sealar,hot


(protaper vertical condensation.
system)
WORKING LENGTH DETERMINATION:

MASTER CONE X-RAY: POST OPERATIVE X-RAY


CASE PRESENTATION 3
PATIENT NAME:S.SATYANARYANA REDDY
DATE OF CASE STARTED:5-1-2018
CHIEF COMPLAINT:PATIENT C/O PAIN IN UPPER LEFT BACK REGION OF
MOUTH.
MEDICAL HISTORY:NO RELEVANT HISTORY
CLINICAL EVALUATION:
DEEP CARIES IRT 8
CHRONIC IRREVERSIBLE PULPITIS IRT 14,15,16,24,25,26,46
CERVICAL ABRASION IRT 22,34,47
DIAGNOSIS:
PULPAL:CHRONIC IRREVERSIBLE PULPITIS IRT 14,15,16,24,25,26,46
PERIRADICULAR:APICAL PERIODONTITIS IRT 14,15,16,24,25,26,46
TREATMENT PLAN: ADVICE RCT IRT 14,15,16,24,25,26,46
ADVICE EXTRACTION IRT 18
ADVICE TOOTH COLOURED RESTORATION IRT
22,34,47
CLINICAL PROCEDURES: RCT followed by Metal Ceramic Crown Int
TREATMENT RECORD:25
PREOPERATIVE X-RAY:

CANAL WORKING APICAL SIZE OBTURATION MATERIAL-TECHNIQUE


LENGTH
BUCCAL 21mm 0.2mm Single cone technique,zoe sealar,hot
vertical condensation.

PALATAL 22mm 0.2mm Single cone technique,zoe sealar,hot


(protaper vertical condensation.
system)
WORKING LENGTH DETERMINATION:

MASTER CONE X-RAY: POST OPERATIVE X-RAY


CASE PRESENTATION 4
PATIENT NAME:S.SATYANARYANA REDDY
DATE OF CASE STARTED:5-1-2018
CHIEF COMPLAINT:PATIENT C/O PAIN IN UPPER LEFT BACK REGION OF
MOUTH.
MEDICAL HISTORY:NO RELEVANT HISTORY
CLINICAL EVALUATION:
DEEP CARIES IRT 8
CHRONIC IRREVERSIBLE PULPITIS IRT 14,15,16,24,25,26,46
CERVICAL ABRASION IRT 22,34,47
DIAGNOSIS:
PULPAL:CHRONIC IRREVERSIBLE PULPITIS IRT 14,15,16,24,25,26,46
PERIRADICULAR:APICAL PERIODONTITIS IRT 14,15,16,24,25,26,46
TREATMENT PLAN: ADVICE RCT IRT 14,15,16,24,25,26,46
ADVICE EXTRACTION IRT 18
ADVICE TOOTH COLOURED RESTORATION IRT
22,34,47
CLINICAL PROCEDURES: RCT followed by Metal Ceramic Crown Int
TREATMENT RECORD:46
PREOPERATIVE X-RAY:

CANAL WORKING APICAL OBTURATION MATERIAL-TECHNIQUE


LENGTH SIZE
BUCCAL 20mm 0.2mm Single cone technique,zoe sealar,hot
vertical condensation.
PALATAL 22mm 0.2mm Single cone technique,zoe sealar,hot
(protaper vertical condensation.
system)
DISTO BUCCAL 21mm 0.2mm Single cone technique,zoe sealar,hot
DISTO LINGUAL 21mm 0.2mm vertical condensation.
WORKING LENGTH DETERMINATION:

MASTER CONE X-RAY: POST OPERATIVE X-RAY


CASE PRESENTATION 5
PATIENT NAME:S.SATYANARYANA REDDY
DATE OF CASE STARTED:27-12-2017
CHIEF COMPLAINT:PATIENT C/O PAIN IN UPPER RIGHT BACK REGION OF
MOUTH SINCE 4 MONTHS.
MEDICAL HISTORY:NO RELEVANT HISTORY
CLINICAL EVALUATION:
DEEP CARIES IRT 18
CHRONIC IRREVERSIBLE PULPITIS IRT 14,15,16,24,25,26,46
CERVICAL ABRASION IRT 22,34,47
DIAGNOSIS:
PULPAL:CHRONIC IRREVERSIBLE PULPITIS IRT 14,15,16,24,25,26,46
PERIRADICULAR:APICAL PERIODONTITIS IRT 14,15,16,24,25,26,46
TREATMENT PLAN: ADVICE RCT IRT 14,15,16,24,25,26,46
ADVICE EXTRACTION IRT 18
ADVICE TOOTH COLOURED RESTORATION IRT
22,34,47
TREATMENT RECORD:16
PREOPERATIVE X-RAY

CANAL WORKING APICAL SIZE OBTURATION


LENGTH MATERIAL/TECHNIQUE
MESIO-BUCCAL 18MM 0.2MM Single cone
technique,zoe sealer,hot
vertical condensation .
DISTO-BUCCAL 21MM 0.2MM Single cone
technique,zoe sealer,hot
vertical condensation.

PALATAL 20MM 0.2MM Single cone


(protaper technique,zoe sealer,hot
system) vertical condensation.
WORKING LENGTH DETERMINATION:

MASTER CONE X-RAY: POST OPERATIVE X-RAY


CASE PRESENTATION 6
PATIENT NAME:MALIKA
DATE OF CASE STARTED:29-1-2018
CHIEF COMPLAINT:PATIENT C/O PAIN AND SENSITIVITY IN UPPER
LEFT BACK REGION OF MOUTH SINCE 1 YEAR
MEDICAL HISTORY:NO RELEVANT HISTORY
CLINICAL EVALUATION:
ROOTCANAL TREATMENT DONE IRT 22
CERVICAL ABRASION IRT 22,23,24
DIAGNOSIS:
PERIRADICULAR:APICAL PERIODONTITIS IRT 23,24
TREATMENT PLAN: ADVICE RCT IRT 23,24
RCT FOLLOWED BY METAL CERAMIC CROWN
AND BRIDGE IRT 22,23,24.
TREATMENT RECORD:23
PREOPERATIVE X-RAY

CANAL WORKING APICAL SIZE OBTURATION


LENGTH MATERIALS/TE
CHNIQUE
SINGLE CANAL 26MM 0.2MM Single cone
Protaper technique,zoe
system sealer,hot
vertical
condensation.
WORKING LENGTH DETERMINATION:

MASTER CONE X-RAY: POST OPERATIVE X-RAY


CASE PRESENTATION 7
PATIENT NAME:MALIKA
DATE OF CASE STARTED:29-1-2018
CHIEF COMPLAINT:PATIENT C/O PAIN AND SENSITIVITY IN UPPER
LEFT BACK REGION OF MOUTH SINCE 1 YEAR
MEDICAL HISTORY:NO RELEVANT HISTORY
CLINICAL EVALUATION:
ROOTCANAL TREATMENT DONE IRT 22
CERVICAL ABRASION IRT 22,23,24
DIAGNOSIS:
PERIRADICULAR:APICAL PERIODONTITIS IRT 23,24
TREATMENT PLAN: ADVICE RCT IRT 23,24
RCT FOLLOWED BY METAL CERAMIC CROWN
AND BRIDGE IRT 22,23,24.
TREATMENT RECORD:24
PREOPERATIVE X-RAY

Canal WORKING APICAL SIZE OBTURATION


LENGHTH MATERIAL/TECHN
IQUE
BUCCAL 23MM O.2MM Single cone
technique,zoe
sealer,hot vertical
condensation

PALATAL 23MM O.2MM Single cone


(protaper system) technique,zoe
sealer,hot vertical
condensation.
WORKING LENGTH DETERMINATION:

MASTER CONE X-RAY: POST OPERATIVE X-RAY


CASE PRESENTATION 8
PATIENT NAME:DAMODHAR REDDY
DATE OF CASE STARTED:5-1-2018
CHIEF COMPLAINT:PATIENT C/O PAIN AND SENSITIVITY IN LOWER
RIGHT BACK REGION OF MOUTH SINCE 2 MONTHS.
MEDICAL HISTORY:DIABETIC,HYPERTENSIVE SINCE 20YEARS AND ON
MEDICATION.CARDIAC-STENT.ON ASPIRIN.
CLINICAL EVALUATION:
GENERALIZED ATTRITION
TENDER ON PERCUSSION IRT 36,44,45,46
DIAGNOSIS:
PULP:LOSS OF OCCLUSAL INTEGRITY IRT 44,45,46.
PERIRADICULAR:APICAL PERIODONTITIS IRT 36,44,45,46
TREATMENT PLAN: ADVICE RCT IRT 36,44,45,46
RCT FOLLOWED BY METAL CERAMIC CROWN
AND BRIDGE IRT 44,45,46
RCT FOLLOWED BY CROWN IRT 36
TREATMENT RECORD:46
PREOPERATIVE X-RAY

CANAL WORKING APICAL SIZE OBTURATION


LENGTH MATERIALS AND
TECHNIQUE
MESIO-BUCCAL 18MM 0.2MM Single cone
technique,hot vertical
condensation

MESIO-LINGUAL 18MM 0.2MM Single cone


technique,hot vertical
condensation

DISTAL 21MM 0.2MM(PROTAPER Single cone


SYSTEM) technique,hot vertical
condensation
WORKING LENGTH DETERMINATION:

MASTER CONE X-RAY: POST OPERATIVE X-RAY