Retreatment series: Episode 3
Ibrahim El Naggar
The Root canal treatments is a way full of challenges, that may be the ANATOMY and also it may be The Dealing with the “PROCEDURAL ERRORS” in this article i will describe how I managed this Treatment Mishap.
I have described in two Episodes before different approaches for Non-Surgical Root Canal Retreatment this time i am discussing a SURGICAL APPROACH.
This was the Pre-Op image from the referral, clearly showing 2 separated Instruments & Stripping on the outer wall during trial for bypassing the fragments
CBCT was requested an in the SAGITTAL section it showed that the instruments are below the Curve .
Coronal Cut for checking the thickness of the cortical Bone.
Axial cut at the level of planned resection
First of all mesials were filled with SQUIRTING technique before the Surgery.
Full thickness sulcular flap was performed
Measurement using Periodontal Probe for the site of osteotomy
Osteotomy site done Precisely based on CBCT
Root End Resection and removal using the Curette
Anatomy Identification Before the Retro Prep using Methylene Blue
Retro Prep Using the Ultrasonics
Retro filling using Bioceramic Putty
Post Op X Ray
The Decision making during the therapy to interfere with SURGICAL on NON-Surgical approach is so important in term of success also the using of the right tools including the instrument and the Microscope is so important for this kind of treatment.
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