Genre busting tooth (by Ilya Mer)

According to the laws of genre this tooth would be extracted  a year before.

It’s really looked awful – open margin crown, broken file, ledging, perforation, overfilling, apical periodontitis. I was quite pessimistic while starting that treatment. But this tooth behaved himself as a good one. Broken file was retrieved, canals negotiated and cleaned then obturated.  Decision was not to touch perf and do it by surgery in case we needed it. A year later it’s still without crown but healed.

Initial X-ray and view of broken file in pulp chamber
Initial X-ray and view of broken file in pulp chamber
BOA technique helped to remove file
BOA technique helped to remove file
disinfection and obturation steps
disinfection and obturation steps
1 year recall - healed!
1 year recall – healed! No surgery needed. 



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…