Upper 2nd molar with 4 canals
Diagnostic IOPA
Working Length
Access view
Master Cones in place
Master cone X-ray
Post Obturation View
Non surgical Management of Leison
Case 1
Pulpa irritants are removed from canals and working length determined
Wein’s recommendations are followed and master cone fit checked
When the canals are dry and ready for obturation they are sealed as per lateral condensation technique
Case 2
Pre Operative
Master Cones in place
Post Obturation View
Surgical management of Lesion
Working length file is used to measure length of vertical releasing incision
Crevicular incisions and single vertical releasing incision planned.
The lesions are exposed and curetted
The files exit through root tip
The root tips are prepared, the flap is repositioned and sutures are placed
Post op radiograph
Tapered Metal Screw Post (Case I, Case II, Case III)
Case I
Radiograph checked for apical seal, thickness of dentin, and root length.
Post placed to 2/3rd of root length.
Broken tooth.
Post space prepared.
Screw post in place.
Case II
Post space shows condensed Gutta Percha.
Peeso reamer inserted to verify post space preparation and length.
Post placed and checked for occlusal clearance.
After coronal built up.