pain in upper right side and need to complete endo treatment

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Case documentation sheet
Patient name: abeer ashraf
Chief complaint: pain in upper right side

Case documentation sheet Patient name: abeer ashraf Chief complaint: pain in upper
and need to complete endo treatment
Age: 23
Gender: female
Contact number

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Medical history: free
Intra-oral examination:
Percussion: positive
Palpation: negative
Vitality: negative
Mobility: grade 1
Radiographic finding: widening

Medical history: free Intra-oral examination: Percussion: positive Palpation: negative Vitality: negative Mobility:
in PDL space
Definitive diagnosis: symptomatic irreversible pulpitis
Treatment plan: RCT

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Pre-operative x-ray

 Access cavity:
Tooth number: 6
Number of canals: 3
Access cavity is prepared then

Pre-operative x-ray Access cavity: Tooth number: 6 Number of canals: 3 Access
there are two broken file in mesio- buccal canal (f1 , sx )
Then we removed the first broken file (f1)

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Then we made bypass to the other broken file (sx)

Then we made bypass to the other broken file (sx)

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Canal instrumentation
Initial x-ray showed
Canal 1: palatal
WL: 20
Reference point: DB cusp

Canal instrumentation Initial x-ray showed Canal 1: palatal WL: 20 Reference point:
tip
Canal 2: MB
WL: 19
Reference point: DB cusp tip
Canal 3: DB
WL: 19
Reference point: DB cusp tip

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Files system:
Gliding path by hand files 15, 20, 25 K
Rotary files: Mpro

Files system: Gliding path by hand files 15, 20, 25 K Rotary
for palatal and DB
K files for apical refinement 30,35K
Hand files for MB canals 15, 20, 25,30K

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Irrigation protocol
Sodium hypochlorite half concentration 1:1
EDTA gel
Master file: 35
Master cone:

Irrigation protocol Sodium hypochlorite half concentration 1:1 EDTA gel Master file: 35 Master cone: 35\04
35\04

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 Obturation
Obturation technique: lateral condensation technique
Master cone:35\04
Auxiliaries:25\02
Spreader: hand spreader size:25
Sealer: resin sealer

Obturation Obturation technique: lateral condensation technique Master cone:35\04 Auxiliaries:25\02 Spreader: hand spreader size:25 Sealer: resin sealer
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