Page 44 - The Beauty and Sorrow in Endodontics-Chapter 2
P. 44

Case 28


            Sealer overfill will sometimes show the path of sinus tract



            development























                  Fig 28A                                        Fig 28B
                  Radiograph taken 1 month prior to the          After  accessing  through  the  existing

                  endodontic       examination      and          crown  and  cleaning  and  shaping  of
                  consultation  –  The  referring  dentist       # 45,  the  first  cone  fit  with  a  0.10

                                           #
                  had  diagnosed  tooth  45  as  the             tapered  gutta  percha  cone  did  not

                  problematic tooth and the patient had          reach the desired working length.

                  been taking antibiotics.




                                                           Fig 28C

                                                           Continued cleaning and shaping was completed
                                                           with  a  series  of  files  using  the  envelope  of
                                                           motion  to  slowly  enlarge  the  canal.  Cone  fit

                                                           with the same 0.10 tapered gutta percha cone
                                                           showed  a  good  fit  on  the  radiograph  and  had
                                                           good tugback.





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