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Archive for PAL

MB2 missed (by Ilya Mer)

All clinical cases Cases by Ilya Mer Endodontics missed MB2 PAL RetreatmentPublished May 22, 2015 at 6:30 am Comments Off on MB2 missed (by Ilya Mer)

Missed MB2 cases are come sort of routine work for endodontist. I am always admire to see upper molars with all shitty filled canals  but PALR usually appears only on MB root    

External apical resorption tooth re-endo (by Ilya Mer)

All clinical cases Cases by Ilya Mer Endodontics Follow up PAL Red Russian RetreatmentPublished March 6, 2015 at 5:04 am Comments Off on External apical resorption tooth re-endo (by Ilya Mer)

Русская версия Absolutely asymptomatic tooth and patient. Just wonder how orthodontist could start treatment with such obvious endodontic problem?  

Just wait a little bit (by Ilya Mer)

All clinical cases Cases by Ilya Mer Endodontics Follow up PALPublished November 7, 2014 at 6:28 am Comments Off on Just wait a little bit (by Ilya Mer)

Do we expect large cyst-like lesion after non surgical RCT? Yes, sure! Caliscan showed that almost 74% of these sort of lesions could disappeared if follow up was longer than usual.    

Missed canal as a second opinion (by Ilya Mer)

All clinical cases Cases by Ilya Mer Endodontics Follow up PAL Retreatment Unusual anatomyPublished October 7, 2014 at 5:47 am Comments Off on Missed canal as a second opinion (by Ilya Mer)

Русская версия  Patient came to get a second opinion  about treatment plan of first mandibular molar. He had consulted with 2 dental surgeons (!)  and was suggested apicoectomy or GUESS?  Right – extraction and implant!

Apical periodontitis two years after crowning (by Ilya Mer)

Cases by Ilya Mer Endodontics PALPublished August 9, 2013 at 5:58 am Comments Off on Apical periodontitis two years after crowning (by Ilya Mer)

#47 (31) developed apical periodontitis with sinus truct 2 years after the crowning.      

6 month recall of CAP RTx (by Ilya Mer)

All clinical cases Cases by Ilya Mer Endodontics Follow up PALPublished July 25, 2013 at 3:18 pm Comments Off on 6 month recall of CAP RTx (by Ilya Mer)

  Русская версия   No symptoms before the treatment and no symptoms after 6 months.

12 month follow up after maxillary premolars NSRCTx (by Ilya Mer)

All clinical cases Cases by Ilya Mer Endodontics Follow up PAL RetreatmentPublished July 8, 2013 at 12:28 pm Comments Off on 12 month follow up after maxillary premolars NSRCTx (by Ilya Mer)

What is the periapical lesion size depended on? Probably it has a correlation with number of intracanal microorganism’s taxons and number of microbiota itself. Does the periapical lesion size has an influence on a decision making process?  Most of my referring dentists  DO believe so. That’s why I got this patient for the consult firstly.
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Second premolar retreatment (by Ilya Mer)

All clinical cases Cases by Ilya Mer Endodontics Follow up PAL RetreatmentPublished April 2, 2013 at 6:36 pm Comments Off on Second premolar retreatment (by Ilya Mer)

The tooth had no symptoms for long 8 years under the bridge but started to bother a month before the appointment. The bridge was removed шт one piece. Non surgical retreatment procedure was done in two visits.        

Two visit endo (by Ilya Mer)

All clinical cases Cases by Ilya Mer Endodontics Follow up PAL RetreatmentPublished March 21, 2013 at 12:26 pm Comments Off on Two visit endo (by Ilya Mer)

Nothing special, just a routine work. Non-symptomatic second lower molar was sent to retreatment I enjoy the shaping, don’t you?        

Missed MB2 (by Ilya Mer)

Cases by Ilya Mer Endodontics Follow up missed MB2 PAL RetreatmentPublished March 13, 2013 at 5:43 am Comments Off on Missed MB2 (by Ilya Mer)

Tooth #26 (14) – accidental finding on X-ray. The patient’s cheaf complaint was bleeding while flossing between first and second molar. The crown was done 2 years before. According to what patient was talking the RCT was done more than 5 years before and a new bulid up with FP was done before  a new crown placement but
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Furcation LEO and 12 month follow up (by Ilya Mer)

All clinical cases Cases by Ilya Mer Endodontics Follow up PAL RetreatmentPublished November 7, 2012 at 9:02 am 1 Comment

Русская версия The patient came with acute toothache and periapical  abcess caused by #46. The percussion was very painful and tooth had a high mobility

12 month recall after NSRCT with maxillary sinus involvement (by Ilya Mer)

All clinical cases Cases by Ilya Mer CT analysis Endodontics Follow up PAL RetreatmentPublished November 3, 2012 at 5:12 pm 1 Comment

Русская версия Incidental finding on CBCT   #26 has been treated a year before and in spite of were no symptoms  LEO on every root and the bigest one in the palatal root        

12 month follow up after LEO included 2 roots of adjacent teeth (by Ilya Mer)

All clinical cases Cases by Ilya Mer Endodontics Follow up PAL RetreatmentPublished October 24, 2012 at 4:25 am 1 Comment

Русская версия It was incidental finding on CBCT made before implant placement instead of missed 45. #46 and 47 underwent endodontic treatment several years ago, LEO on every root and huge LEO inclided distal root of #46 and mesial root of 47   PostOp 47    

Fragment retrieval and 8 month follow up (by Ilya Mer)

All clinical cases Cases by Ilya Mer Endodontics Follow up Fragment removal one step endodontics PAL RetreatmentPublished October 19, 2012 at 12:53 pm 1 Comment

Русская версия The patient was sent to re-endo of several teeth before a new prosthetic reconstruction  

Lateral lesion (by Ilya Mer)

All clinical cases Cases by Ilya Mer Endodontics Follow up Lateral canal PAL Unusual anatomyPublished October 18, 2012 at 9:36 am 1 Comment

Русская версия This patient was referred to our clinic for evaluation of RCT #37 (18) The initial therapy was carried out 5 years before that moment.  A year before symptoms appeared: swelling, pain, sinus tract. The NSTCT was attempted (patient said that  several dressing were changed during number of weeks) Symptoms gone but came ot
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Open apex and MTA apical plug (by Ilya Mer)

All clinical cases Cases by Ilya Mer Endodontics External resorption Follow up MTA apical plug PAL RetreatmentPublished November 8, 2011 at 9:46 am 1 Comment

Русская версия Patient referred to endo retreatment of central incisor. RD has started the procedure but faced to hard cement in the middle third which couldn’t be taken out without direct vision. This problem was solved easily with microscope and ultrasonic.  Wide open apex probably caused by external resorption was closed with MTA plug.

Internal perforated resorption (by Ilya Mer)

All clinical cases Cases by Ilya Mer Endodontics Follow up Internal resorption PALPublished September 27, 2011 at 11:22 am Comments Off on Internal perforated resorption (by Ilya Mer)

Patient suffered from swelling and sinus tract in area of frontal anterior teeth.  It was about trauma of #11 (8) that happened approximately 8-9 months before the visit. Percussion and palpation was painful. X-ray showed internal resorption with perforation of the wall. I spent 3 visits to remove all soft tissue from insight the tooth
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Six month follow up after huge PARL (by Ilya Mer)

All clinical cases Cases by Ilya Mer Endodontics Follow up Fragment removal PAL Retreatment VideoPublished September 18, 2011 at 12:47 pm 1 Comment

Русская версия This patient suffered for several months from swelling and sinus tract in are of 44-45

8 month follow up after a huge PARL (by Ilya Mer)

All clinical cases Cases by Ilya Mer Endodontics Follow up PAL RetreatmentPublished September 8, 2011 at 8:41 pm 1 Comment

Русская версия Huge periapical lesion under an old bridge. Just curious but it never hurt.

Acute abscess from 46 (by Ilya Mer)

All clinical cases Cases by Ilya Mer Endodontics PAL RetreatmentPublished August 3, 2011 at 3:32 pm Comments Off on Acute abscess from 46 (by Ilya Mer)

Acute abscess caused by #46 treated for several ago, severe swelling, and patient takes antibiotics and painkillers. Mobility grade 3.   Patient was ordered for tommorow for additional desinfection and I happily noted that swelling reduce as twice.

Six month follow up after ortho driven pulp necrosis (by Ilya Mer)

All clinical cases Cases by Ilya Mer Endodontics Follow up PALPublished July 12, 2011 at 1:43 pm 1 Comment

Русская версия #32 was a cause of buccal swelling and pain. Mobility grade II, vitality test with endoice gave negative reaction. Orthotreatment was in anamnesis and probably caused necrosis

Endo-perio lesion (by Ilya Mer)

All clinical cases Cases by Ilya Mer Endo-perio lesion Endodontics PAL Pulp necrosisPublished May 15, 2011 at 8:59 am Comments Off on Endo-perio lesion (by Ilya Mer)

This patient referred for consult and treatment of #25 and #26 has come to my office with pain from his upper right  jaw and swelling against #25 and #26. RD has prepared both teeth for PFM and left them under provisional crowns. Percussion of both teeth were very painful, very high mobility (2-3 grade). There
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2 year follow up after strip perforation (by Ilya Mer)

All clinical cases Cases by Ilya Mer Endodontics one step endodontics PAL Perforation repair RetreatmentPublished May 10, 2011 at 12:04 pm Comments Off on 2 year follow up after strip perforation (by Ilya Mer)

Here is the 2 year follow up after  iatrogenic perforation on mesial root #47. I has started as a regular re-retreatment with under preparated RC system, short filling in both roots. After I’ve got apical patency and was ready to obturation I found myself in strip perf of the  coronal third in the mesial root. The perforation
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Hu-u-ge PAL and 1 year recall (by Ilya Mer)

All clinical cases Cases by Ilya Mer Endodontics Follow up MTA apical plug PAL Perforation repair RetreatmentPublished April 19, 2011 at 8:14 pm Comments Off on Hu-u-ge PAL and 1 year recall (by Ilya Mer)

Русская версия #21 filled with cement long time ago. Swelling, pain and sinus tract appeared on palatal, I’ve never seen it before.   Refering doctor tried to go through the cement but turn buccally and did the smal perf in the middle third.   Lateral incisor didn’t response to cold but bled being opened. I
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Hacked to pieces (by Ilya Mer)

All clinical cases Cases by Ilya Mer Endodontics Follow up PAL RetreatmentPublished April 5, 2011 at 10:42 am Comments Off on Hacked to pieces (by Ilya Mer)

Русская версия This patient came just before a New Year vacation. The tooth was very painful in spite of the patient has taken NSAIF and antibiotic for several days (the patient himself was the dental surgeon)     First of all I found ML missed which has been joined with MB in the apical third.
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Perf/no perf? (by Ilya Mer)

All clinical cases Cases by Ilya Mer Endodontics Follow up one step endodontics PAL Perforation repair RetreatmentPublished February 2, 2011 at 5:08 pm 1 Comment

Русская версия #25 (#13) has been sent to the root canal treatment due to chronical pulp inflammation. The treatment has been done and you see the result, but look at #26 (#14)

Follow ups make sense (by Ilya Mer)

All clinical cases Cases by Ilya Mer Endodontics Follow up one step endodontics PAL RetreatmentPublished January 24, 2011 at 5:24 pm Comments Off on Follow ups make sense (by Ilya Mer)

Русская версия This patient suffered from permanent pain and swelling on this front upper teeth.

Through the own crown (Maxim Belograd)

All clinical cases Cases by Maxim Belograd Direct restorations Endodontics Micro-access PAL Pulp necrosis VideoPublished December 26, 2010 at 5:00 pm Comments Off on Through the own crown (Maxim Belograd)

Russian version Crown was placed 6 month ago by me. There was a deep decay in this tooth and I treated it and left the tooth to be vital. Than the “deep decay” transformed into apical periodontitis. The decision was to do RCT through the crown. Microaccess allowed to preserve both tooth and crown structures.
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Healing in progress (by Ilya Mer)

All clinical cases Cases by Ilya Mer Endodontics Follow up PAL Pulp necrosisPublished December 18, 2010 at 11:32 am Comments Off on Healing in progress (by Ilya Mer)

Русская версия This patient appeared in our office with buccal swelling, fistula and no-end  gingival pocket. Definitely the cold test was negative.

Reverse architecture apex (by Ilya Mer)

All clinical cases Cases by Ilya Mer External resorption Follow up PAL Surgical endodonticsPublished November 27, 2010 at 8:13 pm 1 Comment

Русская версия #43  is necrotic with at least apical third root resorption and huge PAL probably due to aggressive orthodontics moving. I usually obturate the big apices cases with extra canal barrier. I use gelatinous sponge or Resorba (collagen membrane). In this case I had some  difficulty to close apex of canine this way because
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Odontogenic sinusitis, cast post and broken instrument removal (case by Maxim Belograd)

All clinical cases Cases by Maxim Belograd Fragment removal PAL RetreatmentPublished November 25, 2010 at 12:28 pm Comments Off on Odontogenic sinusitis, cast post and broken instrument removal (case by Maxim Belograd)

Here is one of complex cases. Tooth #1.6, odontogenic sinusitis, cast post, broken past carrier and missed MB2. Generally we have a full set to enjoy and have fun 1st appt. Cast post was separated and removed with ultrasound. MB2 was found and passed, got pus. Ca(OH)2 2nd appt. Bypassed fragment, visualized it but couldn’t
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Сyst like lesion 1 year recall (Ilya Mer)

All clinical cases Cases by Ilya Mer Follow up PAL Red Russian RetreatmentPublished November 21, 2010 at 12:56 am Comments Off on Сyst like lesion 1 year recall (Ilya Mer)

The tooth was previous treated with resorcinol technique. Referral couldn’t negotiate the canals and made build up with fiber post and crown but flare up had happened. The patient wants to save the tooth. Cleaning and shaping procedures were performed and calcium hydroxide placed for 2 weeks. Final obturation with AH+ and squirt (Obtura injection
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Apical periodontitis with furcal resorption (Ilya Mer)

All clinical cases Cases by Ilya Mer Follow up PAL Red Russian RetreatmentPublished November 21, 2010 at 12:39 am Comments Off on Apical periodontitis with furcal resorption (Ilya Mer)

1 year recall of apical periodontitis retreatment with furcal resorption. No patency achieved in either mesial canals. The healing is in a progress but still is not completed.

24 month follow up after cyst like lesion (Ilya Mer)

All clinical cases Cases by Ilya Mer Endodontics External resorption Follow up Fragment removal MTA apical plug PAL RetreatmentPublished November 21, 2010 at 12:21 am Comments Off on 24 month follow up after cyst like lesion (Ilya Mer)

The patient doesn’t remember where and when RCT was done, but his mother remembered the trauma had happened 20 years ago. The LEO  is not so obvious but the size is very impressive, isn’t it? There is a silver point and some unknown paste in the coronal and some BS in the middle third. Looks
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