A 21 year old male presented for root canal treatment for tooth #19.
ASAI, Dx as previously initiated with asymptomatic apical periodontitis.
there was a paste filling in the canal which was hard to remove. During
instrumentation and removing the paste 15/04 file was separated in the
DL canal, couldn’t bypass. Scan was taken.C&S was completed up to
35/04. Ca(OH)2 was placed as intracranial medication. Next visit: WVC,
Composite filling.
Surgery was planned to remove the uninstrumented part of the DL canal.
Flap design: papilla preserved flap. 3mm apicotomy + 3mm retro prep
which were filled with BC sealer and putty. bone graft, membrane and
sutured.