EndoFiction

07/12/2025

06/12/2025

26/11/2025

08/08/2025

RCT of UL7,
Canals prep: PTG
Obturation: Bioceramic sealer + CWC + backfill with warm GP.

23/06/2025

Pt presented with fractured crown of UL1. Treatment was finished in one session including metal post and core removal, root canal retreatment, new post and core and CAD/CAM cerec crown fabrication and fit. Apical plug using MTA followed by warm GP were used to obturate the canal.

21/06/2025

Poll results showed 39% willing to restore UL1. To be fair it's a risky decision, however I was among the 39%, and my clinical decision was influenced by some factors including:
1. Bone condition and support
2. Patient occlusion (specially eccentric jaw movements)
3. Patient needs and motivation, after discussion of all available treatment options including Implant, cantilever bridge, Maryland Bridge, conventional bridge and removable denture.

I am sure many clinicians have got the skills that allow them to restore such tooth, but such cases are not about the clinical technicality, it is all about the scientific evidence on which a transparent discussion with the patient should be held in regards to the treatment longevity, post treatment tooth functionality and aesthetics. Occlusion was favourable enough and did not show any discripency that may put excessive unrequired lateral forces on the tooth. Bone support shows good quality and quantity. Patient refused all other treatments and really believed that she should give it a second chance as she/he already went through extensive treatment by having apicectomy 20 years ago. Acccordingly, a second chance was the treatment choice specially that ferrule was found available buccal and palatally only (2mm)

Treatment was done in one session including the CEREC crown make and fit (CAD/CAM). Long term review is crucial.

19/06/2025

5 canals LL6 with decent curves.

21/04/2025

A case referred for management of UL4, one of those turned up to be molarised premolar.

20/04/2025

Interesting case referred for management of internal inflammatory resorption of UL5. Bone support was not very promising, giving that it is a terminal tooth, however, patient was very keen to save the tooth and push it for more few years if possible. CBCT showed extensive resorptive defect with no communication with the PDL. CaOH injected for 2 weeks followed by obturation using endosequence Hiflow and modified hot technique followed by definitive coronal restoration using Zirconia crown.

25/08/2024

Such pure satisfaction when you get the healing in cases like this one.

13/07/2024

Primary root canal treatment of LL6 with post&core.