For effective endodontic treatment the early diagnostics and justification of treatment are needed, as well as an endodontal microscope available and CT examination (computer tomography). If early diagnostics allows us to carry out effective endodontic treatment on a real time basis, use of microscope and computer tomography represents a guide-book for treatment planning providing data of topographic anatomy and its varieties to us.
Case Histories
1) Patient X
Background:
Photo 1. Panoramic Tomography
Genuine anatomy of the 14th tooth could not be determined on dental panoramic radiogram.
Photo 2. 3D-area, 14th tooth
During preparation in the course of endodontic treatment a triple-rooted supramaxillary premolar tooth has been detected on 3D-scan (the 14th tooth).
2) Patient Y
Fig. 1. Diagnostic X-ray picture of the 16th tooth
Fig. 2. 16th tooth, a foreign body in the apical third part of the root canal
Fig. 3. 16th tooth, tool withdrawal from the apical third part of the root canal
Use of microscope, accessory ultrasonic tools and 19 years of field experience of endodontists in aesthetic dental clinic “PRIZMA” affords to find solutions in complicated endodontic cases (substandard tooth anatomy, tool breakage), etc.
