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endodontic access

clinical photo of a tooth

An Unconventional Access

March 16, 2016

Patient presented with #1-3 pulp necrosis and chronic apical abscess. Due to missing #1-2, mesially tilted tooth #1-3 had been restored as #1-3 and #1-4 splinted crowns in the place of #1-2 and #1-3. The clinical picture shows a ceramic interdental papilla which covers the root of tooth #1-3…

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law of concentricity

Recognize the Rotated Ones!

April 1, 2015

One of the scenarios that we have to always be prepared for is accessing through a crown that is placed on a rotated tooth. One of the key elements discussed was the use of a probe to gain a better appreciation of the root outline at the CEJ level. The “Law of Concentricity” then allows us to start our access cavity preparation in the right direction…

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tooth malrotation

When Lingual is Occupied

August 19, 2014

Sometimes when the conventional endodontic access is not possible, the unconventional approach can save the day. A clinician should always aim at establishing a straight line access (SLA) in order to properly instrument, irrigate and obturate the canal system…

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