Removal of silver points

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.

Upper first molar with 5 canals, MB3

This is why the use of the microscope is so IMPORTANT in Endodontics. This is an upper first molar with 5 canals. I like to clean and shape first the main canals to work after on the accessories. In this case I found a MB2 and MB3 canal. It’s IMPOSSIBLE to do this with the limitations of our naked eye, even with loupes. Mind as well the “conservative” access done in this case.

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Love looks through a telescope; envy, through a microscope.

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

Curvy roots on a first upper molar

On this kind of cases we just need to take extra care and patience to do it. It’s very important to enlarge the canal little by little, irrigating all the time to remove the smear layer and avoid ledges when we perform root canal treatments.

The two most powerful warriors are patience and time.

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

Dentin bridge

This video is about a dentin bridge I found during a root canal re-treatment of an upper seven molar. Every time I found them I like to preserve these structures to avoid tooth weakening. Only with the help of the microscope we can distinguish these kinds of formations from pulp stones. In this case the bridge was crossing the palatal canal.

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What is great in man is that he is a bridge and not a goal.

PhD. MSc. Dr. Pablo Salmeron.