Patient was sent with with internal resorption in palatal root. Referral said that there was no way to treat it as it was bleeding like hell. I did pre endo build up in my usual way.
Palatal looked very strange but without typical resorptive tissue. It was just my luck that I was careful and didn’t use Hypo and started with saline. It was surprising to see the irrigate solution to disappear into palatal canal after each piston pressure. If I was using hypo, the sinus would have been filled with it. I’ve decided to obturate only buccal roots and to fill palatal with Calcium Hydro paste – morning brings counsel.
Next visit palatal was dry at the apex, there was no bleeding from the resorption area. Obturation apex by MTA Angelus, injection by Obtura for mid-third and MTA for resorption area as well.