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Feb 16 2022 at 5:59 am . EditedThis 15 YO female patient was referred to treat the upper left lateral incisor. (10)The tooth was asymptomatic, a sinus tract was present.PA + CBCT revealed a Dens in dente with very complexe internal anatomy.Test percussion negative and normal probing.Diagnosis: necrotic dens in dente with asymptomatic apical peridontitis First visit: 2 Access cavities were made with long cylindrical burr as narrow as possible.Due to the large canal, no shipping was needed. After copious irrigation with NaOcl, I was unable to dry the canal and calcium hydroxyde was dressed in the two canals.Second visit was a real nightmare, it took me almost an hour just to remove the calcium hydroxyde.Irrigation protocol: Sodium hypochlorite 6% with US file and Endoactivator + 17 % EDTAFinal rinse with 95 % Alcohol .Obturation Technique withe warm vertical condensation and back fill with gutta condensor.Access cavity was cleaned and closed with composite. Not really satisfied with the final PA that showed an overfill of sealer, don’t think it ’s an overextension.Will see in a few month with the follow up.
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