Dr. Corneliu Bețiu - Medic Stomatolog Endodont

✨1.5 year follow up for lower first molar endodontic retreatment

Dg: 4.6 - SAP/ previously treated
⏩1st clinical session:
- removing old restoration and decayed tissues, pre endodontic build up.

Rotary instrumentation was done with Hyflex system and Reciproc system
ML - 35.04
MB - 35.04
D - 40.04
Irrigation: Sodium Hypoclorite 5.25%, EDTA
Calcium hydroxide for 2 weeks.

⏩2nd clinical session:
-obturation: cwc technique and ah plus sealer.
Indication for overlay
Notice periapical healing after 1.5 year
Cheers!

📸6 months follow up for lower incisor retreatment

✔Dg:3.2 - previosly treated/AAP.
Fiber post removal through ceramic crown.
Standard protocol of instrumentation and irrigation.
🌟2 canals joining in the apical third.
💦Gently irrigation with NaOCl activated by US. Root canal obturation using warm vertical condensation.
Single visit endodontics.

After 6 months the sinus tract disappeared and no symptoms.
Notice the healing process of periapical bone and the remineralization area around apex.
Cheers!

📢 A case of endodontic retreatment of lower second molar with associated sinus tract and distal period pocket and recall after 8 months.
Patient had a pain episode in the past and decided to treat the tooth

Notice big periapical radiolucency, buccal sinus tract and 7 mm depth probing at buccal side

Dg: 4.7 - chronic apical abscess

- removing old restoration and decayed tissues

Rotary instrumentation was done with Reciproc R25 system and WOG up to 35.06 and manual for distal canal.
MAF:
ML - 35.04
MB - 35.04
D - 45.06
Irrigation: Sodium Hypoclorite 5.25%, EDTA
-obturation: cwc technique and ah plus sealer
Fiber post reconstruction. Indication for onlay/crown.

After 2 weeks sinus tract has been healed, no simptomatology. After 8 months we can see complete healing of periapical lesion, no depth on probing

📢 A case of endodontic retreatment of lower second molar with associated sinus tract.
Patient had a pain episode in the past and decided to treat the tooth

Notice big periapical radiolucency, buccal sinus tract and 8 mm depth probing at buccal side

Dg: 4.7 - chronic apical abscess

💥FIRST clinical session:
- removing old restoration and decayed tissues

Rotary instrumentation was done with Reciproc R25 system and WOG up to 35.06 and manual for distal canal.
MAF:
ML - 35.06
MB - 35.06
D - 70.06
Irrigation: Sodium Hypoclorite 5.25%, EDTA
After instrumentation I've got massive secretions from D canal
Calcium hydroxide for 2 weeks.

🌟SECOND clinical session:
-obturation: cwc technique and ah plus sealer for mesials canals.
Bioceramics well root and flow guttapercha in distal canal.
Composite filling

After 2 weeks sinus tract has been healed, no simptomatology. After 1 year we can see complete healing of periapical lesion

📸2 weeks follow up for upper incisors retreatments and treatments
Notice the bone remineralization just after 2 weeks after treatment

✔Dg:1.2/1.1 - previosly treated/AAP.
2.1 - necrosis/AAP.
Single visit endodontics

✔For apical third I did manual instrumentation using big apical k-files. Fiber post fo

💥Despite of big apical diameter of the incisors ( #55) I decided not to use MTA, just warm vertical condensation and gently irrigation with NaOCl activated by US. Patient will receive crowns and we hope for future healing
Cheers!

📢 😷 A case of endodontic retreatment of upper premolars and healing after 1 month

Chief complaint: pain upon biting.
Dg: SAP 2.4/2.5. Single visit for each tooth.

Instrumentation: Reciproc file system and manual instrumentation
2.4
-MAF: 35.04 on both P and V canal. Canals were joining in apical third.
Vertucci type 2 conformation. Positive aspiration test.
- Irrigation: Sodium Hypoclorite 5.25%
- Obturation: cwc technique and AH plus sealer.

2.5
-MAF: 80.02
- Irrigation: Sodium Hypoclorite 5.25%
- Obturation: MTA and injected guttapercha

Notice the healing of periapical lesion after 1 month ❤️

⏳ 1 year follow up for lower central incisors root canal treatments + perio treatments

✔Dg:3.1/4.1 - necrosis/chronic apical abscess. Patient had sinus tract, multiple perio pockets on probing.

✔ Standard protocol of instrumentation and irrigation associated with perio protocol of curettage done by my colleague
Gently irrigation with NaOCl activated by US. Root canal obturation using warm vertical condensation.
After 1 year the sinus tract disappeared, no symptoms and reduced pockets.

⏳A case of one year follow up for molar referred for RCT at our office. Despite of trouble to get patency during root canal treatment a complete healing of periapical radiolucencies were observed.

Dg: 4.6 - AAP

- removing decayed tissues
Manual instrumentation was done using lots of kerr files (06-08-10) files and then using proglider file. It was very tough to get patency. I've separated a very small part of #06 Kerr file in ML canal.
ML 25.04
MB 25.04
DL 35.04
DB no patency 35.04
Rotary instrumentation was done with Hyflex system long series and Protaper Next for distal canal

Irrigation: Sodium Hypoclorite 5.25%, EDTA
- cwc technique and ah plus sealer.
We can notice almost total healing of PARL despite of not perfect root canal obturation on x-ray.

💫 A case of upper first molar retreatment with PARL at MB root and deep distal decay
📢Dg: 1.6 AAP, 1.7 mesial decay

DME and pre endodontic build up and treatment of mesial decay at 1.7
Standard protocol of instrumentation and irigation.
Hyflex rotary sistem
MB1 30.04
MB2 30.04
DB 25.06
P 40.04
Obturation: cwc and ah plus
Fiber post reconstruction
Indication for crown
Single visit endo and restoration

📢💣 A case of Radix Entomolaris at lower first molar and recall at 1 year with complete healing

PARL on both D and M roots.

Dg: 4.6 SAP
- removing old restoration and cleaning the cavity access
- pre-endodontic build-up of mesial and distal wall using flow composite
Rotary instrumentation was done with R25 system
Irrigation: Sodium Hypoclorite 5.25%, EDTA
-obturation: hidraulic condensation obturation technique and bioceramic sealer.

💥 A case of irreversible pulpits at 2.6 with severe curvature of MB root.
📢Dg: 2.6 SIP
Notice 90° periapical curvature at MB root.
Pre endodontic build up
I used lots of c pilot hand files to shape apical part of the MB root.
Standard protocol of instrumentation and irigation.
Hyflex rotary sistem
MB1 25.04
MB2 25.04
DB 25.06
P 40.04
Obturation: cwc and ah plus

Single visit endo
Composite restoration

📢 😷 A case of endodontic retreatment of upper canine under the bridge:

Chief complaint: pain upon biting.
Dg: SAP #1.3

Instrumentation: Reciproc Blue
-MAF: 45.04
- Irrigation: Sodium Hypoclorite 5.25%
- Obturation: cwc technique and AH plus sealer.
Notice beautiful anatomy of apical part of the root ❤️

Endodontics is about patience!
A case of lower first molar referred for RCT at our office.

Dg: 3.6 - SIP
- removing decayed tissues
Manual instrumentation was done using lots of 31 mm Kerr files (08-10) files and then using proglider file. The roots had very narrow and long canals. It was very tough to get patency
WL:
ML 28 mm
MB 29 mm
DB 27 mm
DL 28 mm
Mesial and distal canals were joining in the apical part of the root.
Rotary instrumentation was done with Hyflex system long series
All canals were shaped until 25.04
Irrigation: Sodium Hypoclorite 5.25%
- cwc technique and ah plus sealer.
Indication for crown/onlay

Cheers

A case of lower first molar referred for RCT at our office.

Dg: 4.6 - SIP
- removing old crown and decayed tissues
Manual instrumentation was done using lots of 31 mm Kerr files (06-08-10) files and then using proglider file. The roots had very narrow and long canals. It was very tough to get patency. WL:
ML 28 mm
MB 29 mm
D 27 mm
Mesial and distal canals were joining in the apical part of the root.
Rotary instrumentation was done with Hyflex system long series and Protaper Next for distal canal
ML - 25.04
MB - 25.04
D - 25.06
Irrigation: Sodium Hypoclorite 5.25%, EDTA
- cwc technique and ah plus sealer.
Indication for crown

Cheers

📢 A case of lower wisdom molar referred for RCT.

Note the beautiful endodontic anatomy of lower molars

Dg: 4.8- simptomatic irreversible pulpitis
Pre endodontic build up
Rotary instrumentation was done with Hyflex rotary system
Mesial canals were joining in the apical third
MAF:
ML - 30.04
MB - 30.04
D - 40.04
Irrigation: Sodium Hypoclorite 5.25%
-obturation: cwc technique and ah plus sealer.
Occlusal composite restoration.

📌Daily bread and butter cases
Nice joining curves

Dg: 3.7 - SAP.
- removing old amalgam restoration and decayed tissues
- pre endodontic build up
- rotary instrumentation was done with Reciproc R25 system and WOG up to 35.06
MAF:
ML - 25.06
MB - 35.06
Both mesial canals were joining in apical third
D - 35.06
Irrigation: Sodium Hypoclorite 5.25%, EDTA
-obturation: cwc technique and ah plus sealer