‘First up is one of the more complex and intriguing cases referred to me in the last 2 years.’
This Vertucci type V LR4 case had been previously initiated by the referring dentist (RD) and displayed minimal apical change on the pre-op IOPA.
Once I had carried out a consultation and taken my own IOPAs, including a mesial angle shift, I felt the root treatment had an excellent chance of success for this tooth. Usual local anaesthetic rubber/liquid dam protocols were used. The tooth was reaccessed using a combination of ultrasonic access tips and LG burs to improve straight-line access to the deep-lying apical split. Preparation was completed using Dentsply’s Reciproc Blue R25 file using lengths calculated from the Morita ZX apex locator (zero readings -0.5mm). Copious irrigation was performed with 5.25% NaOCl and 17% liquid EDTA.
All irrigants were activated using passive ultrasonic irrigation (PUI) with Eighteeth’s Ultra X. It was then filled using a combination of warm vertical compaction (WVC) and AH+ resin-based sealer. 3M’s Filtek’s bulk one resin was used as a nayyar core. This lovely lady was then returned to her RD to provide cuspal coverage.
Below is the radiograph (displaying nice healing) taken at her 1-year review appointment, where the patient reported the tooth was symptom-free, which was pleasing:
With the option for self-referrals and referrals by your dentist, Modern Endodontics by Dr Adam Watt makes it easy for root canal patients based in Glasgow and further afield to access advanced endodontic care.
If you're a patient looking to self-refer for an endodontic treatment with Dr Adam Watt, please contact the Treatment Coordinator at Broomhill Dental, Glasgow.
Contact Dr Adam Watt for Modern Endodontic Referrals in Glasgow by contacting or Broomhill Dental, 437A Crow Rd, Glasgow G11 7D or choose from one of the following options: