Dr. Amer & Associates

Dr. Amer & Associates For all your dental needs

17/08/2026

This lower right second molar came with two complications stacked on top of each other: the tooth was tilted mesially, throwing off the natural access angle to the canal system, and it had a deep Class II DO cavity extending close to the pulp, which had already led to irreversible pulpitis with apical periodontitis. A tilted tooth changes everything about how a root canal is approached — straight-line access becomes harder to achieve, and getting instruments to travel the true canal path without transporting it takes extra care. Combined with a deep distal lesion right at the access point, this was a case that demanded precision from the very first step. Treatment was carried out fully under rubber dam isolation, with canals cleaned, shaped and obturated to full working length. Cases like this are a good reminder that a tooth's anatomy — not just its diagnosis — plays a huge role in how challenging treatment really is. 🦷✨

📞 Call or WhatsApp: 021-38882965 / 0330-3157252

15/08/2026

This upper left second premolar had a root canal done previously, but the patient was still experiencing symptoms — the X-ray confirmed apical periodontitis, meaning the infection at the root tip hadn't fully cleared the first time around. Root canal retreatment is already a more demanding procedure than a first-time RCT, since it means removing the old filling material, re-negotiating canals that have already been shaped once, and thoroughly disinfecting a system that's had time to harbor bacteria. The entire retreatment was carried out under rubber dam isolation, with canals cleaned, shaped and obturated to full working length. A post and core was then placed to rebuild the tooth's structure, leaving it fully prepped and ready for its final crown. Persistent symptoms after a root canal don't always mean the tooth is lost — often, it just means it's time for a second look. 🦷✨

📞 Call or WhatsApp: 021-38882965 / 0330-3157252

12/08/2026

This lower right first molar had already been through a root canal — but the patient was still in pain, and the X-ray showed symptomatic apical periodontitis around the roots, a clear sign the original treatment hadn't fully resolved the infection. Two significant complications were noted: a ledge had formed in the distal canal, altering its natural path, and a separated instrument fragment was lodged in the mesiolingual canal from the earlier procedure. Both are among the toughest challenges in endodontics — a ledge can block access to the true canal path, and a separated file can obstruct cleaning and shaping entirely if not managed carefully. Working under rubber dam isolation throughout, the ledge was safely bypassed and the canal system was fully negotiated, cleaned, and obturated to full working length. Retreatment cases like this are exactly why a tooth that's had a "failed" root canal shouldn't be written off before a specialist takes a closer look. 🦷✨

📞 Call or WhatsApp: 021-38882965 / 0330-3157252

06/08/2026

This case came in with a dislodged crown, visible leakage around the old core both clinically and on X-ray, and a root canal that had been under-filled the first time around — a combination that had left the tooth vulnerable to reinfection. Root canal retreatment is a fundamentally more demanding procedure than a first-time RCT: it means safely removing the old filling material, negotiating canals that have already been shaped once (and sometimes missed), and disinfecting a system that's had a chance to harbor bacteria for longer. This was completed in a single visit under rubber dam isolation, instrumented and obturated to full working length. To finish, a post and core was built to restore the tooth's structure precisely, giving the final crown a stable, well-supported foundation. A great reminder that even teeth with a "failed" root canal often still have a second chance. 🦷✨
📞 Call or WhatsApp: 021-38882965 / 0330-3157252

05/08/2026

This case involved a lower left first molar diagnosed with necrotic pulp and asymptomatic apical periodontitis — infection was already present at the root tip, even without symptoms, which is why regular check-ups matter more than waiting for pain. Beyond the root canal itself, this tooth had a deep distal margin below the gumline, a common but tricky problem that makes proper isolation and a durable final restoration difficult. A distal deep margin elevation was performed to bring that margin back up to a level where it could be reliably sealed and isolated. The entire root canal treatment was completed under rubber dam isolation to full working length, Crown has been planned for this patient as well, It's cases like this that show why treating the whole tooth — not just the canal — is what makes a root canal actually last. 🦷✨
📞 Call or WhatsApp: 021-38882965 / 0330-3157252

04/08/2026

Not every root canal is straightforward — and this one is a great example why. This case presented with a sharply curved mesial canal and an S-shaped distal canal, two anatomical variations that make instrumentation significantly more challenging. Canals like these carry a real risk of ledging, canal transportation, or missed working length if not managed with precision. The procedure was carried out under rubber dam isolation throughout, keeping the canal system completely protected from saliva and oral bacteria, and each canal was shaped and obturated to full working length for a complete, three-dimensional seal. Cases like this are a reminder that root canal treatment isn't just about removing infection — it's about respecting the tooth's original anatomy and treating it accordingly. 🦷✨
📞 Call or WhatsApp: 021-38882965 / 0330-3157252

Wisdom teeth don't always come in straight — and when they don't, they can push against the tooth next to them, trap foo...
03/08/2026

Wisdom teeth don't always come in straight — and when they don't, they can push against the tooth next to them, trap food and bacteria, or stay partly buried under the gum without any warning signs at first. By the time you feel pain, swelling, or stiffness in your jaw, the impaction has often been developing for a while. The good news? An X-ray during a routine check-up can catch this early, long before it turns into an emergency. If you're in your late teens to mid-20s and haven't had your wisdom teeth checked, it's worth putting on your list. 🦷

📞 Call or WhatsApp us to book a check-up: 021-38882965 / 0330-3157252

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Shop No. 4, Ground Floor. Plot No. C-17-C, Main Khayaban-e-Sehar, Phase 7, DHA
Karachi
75500

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Monday 14:30 - 21:30
Tuesday 14:30 - 21:30
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