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ROCANAL
Root Canal Therapy

by Dr. Edgar J. Corneo-Lobenstein

4 Clinical Cases - Page 3

3.Fibrotic Deformation in Molar Region of Left Part of Mandibula Caused by Necrotic Canal Contents (with great Radiolucency at Apices). Chronic Osteitis.

 
Treatment:  Retreatment of root canals    started in March 1988.

Sittings:  3, once a week

Control X-rays: 1. July 1988
  2. October 1988
  3. March 1989
  4. February 1991
  5. May 1994

Result:  Complete healing

Filling:  only with endodontic cement Rocanal Permanent Gangrene.
  Note:
the treatment was particularly difficult because the canal entrances of treated canals were obstructed by a resin-filling material.
The distal root had a fourth canal (not treated before).
The mesial root had a very curved canal (lingual).
 
Fig.1
Initial Orthopantomography.
(Feb. 88)
Note:
fibrotic reaction of bone all around first molar.
Great radiolucencies at apices.
 
   
Fig.2
Endooral x-ray before starting retreatment.
(March 88).
 
   
Fig.3
(July 1988).
First control x-ray.
An overfilling is present
at distal root. The case
was perfectly well
tolerated. No pain.
   
Fig.4
(March 1989).
Control x-ray.
The four canals are well visible.
   
Fig.5
(May 1994).
Control x-ray.
The healing is complete. Overfilling disminished. Clinically perfect healing.
   
 


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