Page 57 - The Beauty and Sorrow in Endodontics-Chapter 2
P. 57

Fig 30H                                       Fig 30I
                  Even  with  careful  removal  of  the  old    Eventually,  all  the  old  gutta  percha  was
                  gutta  percha,  a  small  segment             removed.  The  access  was  temporarily

                  remained, and was found to be pushed          restored.  The  patient  was  informed  of  the

                                                                                          #
                  out the apex.                                 incomplete  formation  of  45  root  apex  and

                                                                the  option  of  placing  MTA  at  the  apex  to
                                                                promote calcification and closing of the apex
                                                                was given. The patient was asked to conduct

                                                                her own research at home.




















                  Fig 30J                                        Fig 30K
                  Even though the two canals join at the         The patient had chosen not to proceed

                  apex, two separate gutta percha cones          with a MTA plug, therefore, the canals
                  were still required for cone fit check         were  obturated  with  warm  vertical

                  and testing for adequate tugback.              gutta  percha  compaction.  Overfilled

                                                                 sealer can be seen around the apex.




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