Saving a cental with deep subgingival external root resorption.
Posted on May 08 2017
Resorption included the pulp.
Greater Curve Standard Band in place
I placed the Greater Curve Standard Band before I realized this would be a good case to photograph.
Prior to placing the band the gingiva was trimmed with a tissue trimmer. The labial portion of the band was cut down to just above the gingival margin. Traxodent placed along the gingival margin. #15 file is evident inside the prep.
Tissue Trimmer (Axis Dental)
The tissue can be trimmed with minimal bleeding occuring.
Light cured glass ionomer
Placed around the 15 file. File is kept moving while the Glass ionomer is cured.
Sequence of composite placement
Clean and boost, Bonding agent Ptrelude SE, Filtek supreme Ultra A3.5 body snowplowed into Filtek A3.5 flowable. Composite ready for shaping.
Final Class V composite
Lingual view of access to root canal.
Root Canal access temporary filled with Teflon tape
Root Canal access temporary filled with Teflon tape (shown) and Cavit placed over the Teflon tape (not shown). Patient was rescheduled for root canal.