cases

Broken file retrieval on an upper second molar

cases, dubai, Endodontics, UAE Pablo Salmeron

This patient was referred to me for a re-root canal treatment of an upper left second molar (27). This tooth presented a broken instrument in the palatal canal. Due to the location of the tooth (the last one) and the location of the broken file at the apex, the treatment became an important challenge. For these types of cases, I always take a CBCT to properly plan the treatment.

I value honesty with all my patients, and I always explain the challenges of each case and the possible outcomes to them. With the right experience, planning, and tools, complex cases are typically successful. My advice is always to seek out an experienced specialist to address these situations and prevent further damage.

While results may vary from patient to patient, they are highly predictable in the vast majority of cases.

Keep challenging yourself to think better, do better, and be better.

PhD. MSc. Dr. Pablo Salmeron at Dr. Roze & Associates.

Removal of silver points

cases, dubai, Endodontics, UAE Pablo Salmeron

This patient was referred to me for a re-root canal treatment of an upper left second premolar (15). The tooth was presenting a couple of metal post and a silver point obturation. Within the always difficulty of  re-root canal treatments, removal of metal posts and silver points are quite predictable with the proper skills. This tooth was already treated 2 times in the past so preserve as much natural tooth structure was very important. Every time that the tooth is root canal treated or re-treated adds another layer of difficulty for the next treatment making very challenging sometimes to fix what it was done 20 or 30 years ago. My advice is always to find the right specialist with experience to fix this kind of situations to avoid further damage. 

The obturation was done using bioceramic sealer and the treatment was completed in one session. The result may vary from patient to patient but it’s very predictable in the vast majority of cases. Let me save your tooth. 

Patience and perseverance have a magical effect before which difficulties disappear and obstacles vanish.

PhD. MSc. Dr. Pablo Salmeron at Dr. Roze & Associates.

Ápice triple en un primer premolar superior.

cases, Endodontics Pablo Salmeron

apice triple

En este caso que os presento podéis ver como el ápice se divide en tres conductos pequeños. La imagen radiolúcida alrededor de la raíz es muy característica en este tipo de casos y antes de obturar nos da una pista de la morfología del ápice.

Equipos y material que he utilizado para este caso:

– Microscopio Labomed DNT.

– Sistema de limas Mtwo de VDW.

– Sistema de obturación System B de gutapercha caliente. Imprescindible para obturar estas morfologías.

Espero que os haya gustado.

PhD. MSc. Dr. Pablo Salmeron.