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National University - Sudan Dentistry Program Endodontic Department

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Dania Zaid

This document summarizes an endodontic treatment case presentation for a 40-year-old female patient. The patient complained of sharp tooth pain in her lower left teeth when eating or at night. Examination found inflammation and a tender tooth. A root canal was planned and completed over multiple visits, with cleaning, shaping, medication and obturation of the canal. The tooth was later referred for a crown to restore it permanently.

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National University - Sudan Dentistry Program Endodontic Department

Uploaded by

Dania Zaid
37 views23 pages
This document summarizes an endodontic treatment case presentation for a 40-year-old female patient. The patient complained of sharp tooth pain in her lower left teeth when eating or at night. Examination found inflammation and a tender tooth. A root canal was planned and completed over multiple visits, with cleaning, shaping, medication and obturation of the canal. The tooth was later referred for a crown to restore it permanently.

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Endo Submission

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Endo Submission

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This document summarizes an endodontic treatment case presentation for a 40-year-old female patient. The patient complained of sharp tooth pain in her lower left teeth when eating or at night. Examination found inflammation and a tender tooth. A root canal was planned and completed over multiple visits, with cleaning, shaping, medication and obturation of the canal. The tooth was later referred for a crown to restore it permanently.

Copyright:

© All Rights Reserved
Download as PPTX, PDF, TXT or read online from Scribd
Download as pptx, pdf, or txt
37 views23 pages

National University - Sudan Dentistry Program Endodontic Department

Uploaded by

Dania Zaid
This document summarizes an endodontic treatment case presentation for a 40-year-old female patient. The patient complained of sharp tooth pain in her lower left teeth when eating or at night. Examination found inflammation and a tender tooth. A root canal was planned and completed over multiple visits, with cleaning, shaping, medication and obturation of the canal. The tooth was later referred for a crown to restore it permanently.

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National University Sudan

Dentistry Program
Endodontic Department

FINAL YEAR PRESENTATION


TESNEEM ABUBAKR IBRAHIM ZAID
D5-9-10-113541
Personal Data

Patients Name: Awatif Musa Hamid


Gender: Female
Age: 40
Occupation: Housewife
Address: Taif
Chief Complaint

Toothache in lower left teeth that is causing pain


during eating and preventing sleep for 1 month.
History of Chief Complaint

Onset: 1 month
Nature: sharp pain
Duration: few minutes
Frequency: with aggravating factors and at night
Aggravating factors: Cold drinks
Relieving factors: Pain killers
Localized
Past Medical History

No medical history of clinical significance mentioned


Past Dental History
Previous extractions* Decayed*:
15 11
16 21
18 22
28 23
36 34
35
Root Canal Treatment*: 46
17 47

Scaling

*FDI System
Extra Oral Examination

Lymph Node:
Not tender, palpable

TMJ:
No pain, tenderness, crepitus, clicking.

Facial Symmetry:
Symmetrical
Intra Oral Examination

Ease of Access:
Easy

General condition of the No abnormalities


mouth: detected in the hard or
Poor soft tissue.

Periodontal Status:
Inflamed gingiva
Recession
Examination of Chief Complaint

Root canal treatment was planned for the lower left


first premolar seeing as this was the cause of the
patients complaint.

Percussion Test: Tender to vertical percussion


Not tender to palpation
No mobility
Diagnosis

Irreversible Pulpitis
Treatment Plan

Oral Hygiene Instructions


Endodontic Treatment
Referral for Conservative Treatment
Referral to Prosthodontic Department
Recall after 6 months
First Visit

Preoperative Radiograph
Local Anesthesia
Access Cavity: Oval shaped
Number of canals: One
No evidence of any accessory canals
Removal of pulp using a barbaric brush and copious
irrigation (diluted sodium hypochlorite)
Preoperative Radiograph

Caries
extension
into the
pulp .
Second Visit

Determination of the master file:


The first file that bound to the canal was 30 (apical
file) making the master file 40.

Determination of the working length:


Using the radiographic method (22 mm)
Cleaning and Shaping

Cleaning and shaping of the root canal using the step


back technique (K- file) and copious irrigation with
diluted sodium hypochlorite
Cleaning and Shaping

Length

Size of the file 40 22 mm

35 21 mm

40 22 mm**

30 20 mm

40 22 mm**

25 19 mm

40 22 mm**

20 18mm

40 mm 22 mm**
**recapitulation
Working Length
Master Cone
Third Visit Flare Up

Patient came complaining of severe pain

Local Anesthesia and reassurance


Copious irrigation
Reconfirmation of the working length
Placement of an intracanal medicament
Temporary filling
Prescription for analgesics (Ibuprofen 600 mg and
1000 mg of acetaminophen)
Fourth Visit - Obturation

Obturation was completed using gutta percha points


(lateral condensation technique)

Sealer: Zinc Oxide Eugenol

GIC as a temporary filling


Obturation
Recall Visit:
Permanent restoration
Referral to Fixed Prosthodontics department for
crown
Thank You

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