Lateral chronic periodontitis

This case was referred to me for a re-root canal treatment of an upper left second premolar (25).

The tooth was presenting a lateral periodontitis which can indicate either a tooth fracture or an untreated lateral canal. 

For these kind of cases I always take a CBCT (3D x-ray) to ensure proper treatment planing and to obtain more information about the possible cause of the problem. I like to be very honest with all my patients and I always explain them the challenges of every case and the possible outcomes. 

The treatment was successful and, although a lateral canal wasn’t visible on the x-ray, it was likely the cause of the problem. A proper disinfection protocol and the use of advanced technologies and techniques are crucial for improving treatment success rates.

With the right experience, planning and tools complex cases are usually successful. I always recommend seeking out a specialist with experience to fix this kind of situations and to prevent further damage. The result may vary from patient to patient but it’s very predictable in the vast majority of cases. Let me save your tooth. 

Success is not final; failure is not fatal: It is the courage to continue that counts.

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

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.

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.