Open apex (by Ilya Mer)

Русская версия

A young lady was sent to consult and retreatment of #36 (19)if possible

Went on the red brown color of the tooth it looked like resorcinol formaldehyde pulpotomy was done as an initial treatment.  She has remembered that the treatment was done in municipal dental clinic  in her childhood and never hurt her during all these years.

Preop images
Trying not to touch the cement on pulp chamber floor I has built the walls with dual-cure cement. I have noticed the bleeding flowed from the mesial aspect of the tooth. Was it the leakage under the restoration? No, for my big surprise the pulp in mesial root was steel vital and it bled
Having removed the debris and putrid from the distal canal I have found granulation tissue on the "apex" level. Calcium hydroxide was placed in the canals
Next visit granulation tissue was a good and durable matrix for MTA I made
Final X-rays, MTA plug in the distal and regular obturation with sealer and guttapercha in mesial root

6 month follow up


Apical perf healing (by Ilya Mer)

What a pleasure surprise came yesterday to my clinic. Tooth #36 with apical perf healed completely 3 years after treatment.…

Red Russian cement molar surgery (by Ilya Mer)

Red Russian cement was very popular in former USSR countries and unfortunately still in use in some cases. The main…

12 month CBCT recall after MB root surgery (by Ilya Mer)

Missed anatomy is the most frequent cause of apical development. In first upper molars definitely MB2 is mostly missed canal.…

When the surgery is the only option (by Ilya Mer)

To tell you the truth my therapeutic nature opposes an idea to do surgery in case of unfounded and untouched…