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 reason to apply it in the past was canal curvature not possible to pass through. If one been retreated cement is found in coronal and middle third whereas apical third is free of filling and contains necrotic tissues. In spite of the fact that canals look empty they are not and cases like these may be successfully treated by surgical approach. Especially if coronal seal is good.

Preop pic of 37 (#18)  with cast post and PAL on mesial root. Tooth previously treated with resorcinol formaldehyde technique.
Preop pic of 37 (#18) with cast post and PAL on mesial root. Tooth previously treated with resorcinol formaldehyde technique. Distance btw cortical bone plate and lesion is about 6mm which is difficult but possible to manage.
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CBCT calculation helps to find root apex. Another tip is to use GP as a marker on periapical X-ray

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almost 20 mo follow up
almost 20 mo follow up

 

 

 

 

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