Слайд 2Case documentation sheet
Patient name: abeer ashraf
Chief complaint: pain in upper right side
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and need to complete endo treatment
Age: 23
Gender: female
Contact number
Слайд 3Medical history: free
Intra-oral examination:
Percussion: positive
Palpation: negative
Vitality: negative
Mobility: grade 1
Radiographic finding: widening
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in PDL space
Definitive diagnosis: symptomatic irreversible pulpitis
Treatment plan: RCT
Слайд 4Pre-operative x-ray
Access cavity:
Tooth number: 6
Number of canals: 3
Access cavity is prepared then
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there are two broken file in mesio- buccal canal (f1 , sx )
Then we removed the first broken file (f1)
Слайд 5Then we made bypass to the other broken file (sx)

Слайд 6Canal instrumentation
Initial x-ray showed
Canal 1: palatal
WL: 20
Reference point: DB cusp
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tip
Canal 2: MB
WL: 19
Reference point: DB cusp tip
Canal 3: DB
WL: 19
Reference point: DB cusp tip
Слайд 7Files system:
Gliding path by hand files 15, 20, 25 K
Rotary files: Mpro
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for palatal and DB
K files for apical refinement 30,35K
Hand files for MB canals 15, 20, 25,30K
Слайд 8Irrigation protocol
Sodium hypochlorite half concentration 1:1
EDTA gel
Master file: 35
Master cone:
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35\04
Слайд 9 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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