Cases from Dr. Andres Mena Rodriguez
A young male patient (24 years old) with significal pain in his upper left molar (2.6) with no significant familial medical history.
Chief complaint:
“lfeel pain when l drink hot and cold meals”
Diagnosis:
lrreversible pulpitis
- Initial assessment: An Access cavity was created and locating the canals. A manual k-File #8 was used to measure the working length using Apex-S.
- Shaping the canals: The root canal shaping was performed using the DencoDoctor-files system, until 35.04 in buccal canals and 40.04 in the palatal canal, along with copious irrigation with 4% NaOCl. The Denco Endo activator was employed to enhance the irrigation process.
- Obturation: When biomechanical preparation was completed the canals were dried with paper points and obturated with Gutta Percha points (35.04-40.04) using vertical condensation and AHPlus.
A young male patient (22 years old) with significal pain in his upper rigth molar (1.6) with no significant familial medical history.
Chiefcomplaint:
“I feel pain interrupting me during sleep, the pain increased when l touch my tooth”
Diagnosis:
Pulp necrosis.
- Initial assessment: An Access cavity was created and locating the canals. A manual k-File #8 was used to measure the working length using Apex-S.
- Shaping the canals: The root canal shaping was performed using the DencoDoctor-files system,until 30.04 in mesio buccal canals, 35.04 in disto buccal canal and 40.04 in the palatal canal, along with copious irrigation with 4% NaOCl. The Denco Endo activator was employed to enhance the irrigation process.
- Obturation: When biomechanical preparation was completed the canals were dried with paper points and obturated with Gutta Percha points (30.04-35.04-40.04) using vertical condensation and AHPlus.
A female patient (36 years old) with significal pain in her lower left molars (3.6-3.7) with no significant familial medical history.
Chief complaint:
“l feel pain which increased on chewing cold meals”
Diagnosis:
lrreversible pulpitis.
- Initial assessment: An Access cavity was created and locating the canals. A manual k-File #8 was used to measure the working length using Apex-S.
- Shaping the canals: The root canal shaping was performed using the DencoDoctor-files system, until 30.04 in mesial canals and 35.04 in distal canals , along with copious irrigation with 4% NaOCl. The Denco Endo activator was employed to enhance the irrigation process.
- Obturation: When biomechanical preparation was completed the canals were dried with paper points and obturated with Gutta Percha points (30.04-35.04) using vertical condensation and AHPlus.
A male patient (52 years old) with significal pain in his lower rigth bicusid (4.4) with no significant familial medical history.
Chiefcomplaint:
“My dentist cut my bridge and told me that l need a root canal
Diagnosis:
lrreversible pulpitis.
- Initial assessment: An Access cavity was created and locating the canals. A manual k-File #8 was used to measure the working length using Apex-S.
- Shaping the canals: The root canal shaping was performed using the DencoDoctor-files system,until 30.04 in lingual canal and 35.04 in bucal canal , along with copious irrigation with 4% NaOCl. The Denco Endo activator was employed to enhance the irrigation process.
- Obturation: When biomechanical preparation was completed the canals were dried with paper points and obturated with Gutta Percha points (30.04-35.04) using vertical condensation and AHPlus.
A female patient (59 years old) with significal pain in her lower left molar (3.8) with no significant familial medical history.
Chief complaint:
“l feel pain when I bite and drink coldsub stances'
Diagnosis:
lrreversible pulpitis
- Initial assessment: An Access cavity was created and locating the canals. A manual k-File #8 was used to measure the working length using Apex-S.
- Shaping the canals: The root canal shaping was performed using the DencoDoctor-files system, until 30.04 in the mesio buccal canals and 35.04 in the distal canal, along with copious irrigation with 4% NaOCl. The Denco endo activator was employed to enhance the irrigation process.
- Obturation: When biomechanical preparation was completed the canals were dried with paper points and obturated with Gutta Percha points (30.04-35.04) using vertical condensation and AHPlus.
Products related to the above treatment cases
A male patient (53 years old) with sinus tract in his upper rigth bicuspid (1.4) with no significant familial medical history.
Chief complaint：
“l feel a little ballin mygum”.
Diagnosis:
Pulp necrosis (chronic periapical periodontitis)
- Initial assessment: An Access cavity was created and locating the canals. Three canal was located ( two bucals-one palatal) a manual k-File #8 was used to measure the working length using Apex-S.
- Shaping the canals: The root canals shaping was performed using the DencoDoctor-files system, until 30.04 in buccal canals and 40.04 in the palatal canal, along with copious irrigation with 4% NaOCl. The Ultra Max activator was employed to enhance the irrigation process.
- Interim medication: Calcium hydroxide was placed in all canals for one week.
- Second visit / Obturation: Upon the patient return (with sinus tract closed) a copius irrigation and activation with Ultra Max was performed to remove calcium hydroxide and the canals were obtured using Gutta Percha points (30.04-40.04) and vertical condensation with AH-Plus.
A female patient (41 years old) with significal pain in her upper rigth bicuspid (1.4) with no significant familial medical history.
Chief complaint:
“l feel pain when l bite with my right side’
Diagnosis:
Pulp necrosis.
- Initial assessment: An Access cavity was created and locating the canals. A manual k-File #8 was used to measure the working length using Apex-S.
- Shaping the canals: The root canal shaping was performed using the DencoDoctor-files system, until 35.04 in the buccal canal and 35.04 in the palatal canal, along with copious irrigation with 4% NaOCl. The DencoUltra Max was employed to enhance the irrigation process.
- Obturation: When biomechanical preparation was completed the canals were dried with paper points and obturated with Gutta Percha points (35.04) using vertical condensation and AHPlus.The bicuspid was restored with a crown and 2 years later returned to do a follow up.
A female patient (63 years old) with significal pain in her upper rigth molar (1.6) with no significant familial medical history.
Chief complaint:
“I feel pain when l bite with my right side”
Diagnosis:
Pulp necrosis.
- Initial assessment: An Access cavity was created and locating the canals. A manual k-File #8 was used to measure the working length using Apex-S.
- Shaping the canals: The root canal shaping was performed using the DencoDoctor-files system, until 35.04 in the buccal canals and 40.04 in the palatal canal, along with copious irrigation with 4% NaOCl. The Denco Ultra Max was employed to enhance the irrigation process.
- Obturation: When biomechanical preparation was completed the canals were dried with paper points and obturated with Gutta Percha points (35.04-40.04) using vertical condensation and AHPlus.
A male patient (46 years old) with significal pain in his upper rigth bicuspid (1.5) with no significant familial medical history.
Chief complaint:
“I feel pain when l bite with my right side and during the night”
Diagnosis:
Pulp necrosis.
- Initial assessment: An Access cavity was created and locating the canals. A manual k-File #8 was used to measure the working length using Apex-S.
- Shaping the canals: The root canal shaping was performed using the DencoDoctor-files system, until 35.04 in the buccal canal and 40.04 in the palatal canal, along with copious irrigation with 4% NaOCl. The Denco Ultra Max was employed to enhance the irrigation process.
- Obturation: When biomechanical preparation was completed the canals were dried with paper points and obturated with Gutta Percha points (35.04-40.04) using vertical condensation and AHPlus.
