Viraj Vora DDS, MS

Retreatment. Notice the resorption at the mesial root apically. Two stage core.

Calcified molar. I see some teeth adjacent to implants that undergo proximal caries, perhaps the marginal collar bone loss, increases the relative size of the embrasure and it acts a plaque/ food trap? Calcified upper #17, necrotic. The scan shows the small P root. I placed an amalgam core, perhaps this may uphold better long-term? A crown is also advised.

Dens type 3 retreatment with an open apex. Two missed apical canals instrumented and merged at the apex. Modified the apical foramen with US and placed a collacote membrane with BC fast set. Fiber post and resin core to close the access.

EICR management with a type 1 dens. Orthograde and surgical management. Fiber post and SDR for repair.

Cracked lower second molar. No deep probings. Patient would like to save and is on board for all possible outcomes. C-shape variant. Resin core. Crown advised ASAP.

Previously initiated case. Deep restoratives. It hurt me to cut away tooth here . Custom matrix, teflon and GP block out for band management. Amalgam core (best material for these types of cases imho). Patient will get a margin elevated crown along the mesial aspect.

Symptomatic cracked lower molar. Hx of previous alloy changed for resin and recently painful to chewing. We took a scan as external resorption (EICR) was noticed on the pre-op. Notice the dilated canal space in the apical extent of the mesial roots. Two visits with interim CaOH. Another orifice was also located adjacent to ML orifice. GP and AH+ to fill and RRM fast set putty at coronal extent of D root. All cusps reduced and composite overlay. Patient sent back to GP for immediate crown.

Prior RCT done about 2 years ago. Symptomatic. We did selective retreatment in the M root. Guttacore Ughhh!! Interim CaOH till resolution of symptoms. Access restored with resin.

Temp bridge. Patient developed symptoms after bridge prep. I thought the anatomy was pretty cool on this case. 3 mesials and a palatal bifurcation. Resin core. Patients also needs 'calculus' work...

Long tooth, upper #27. Necrotic with AAA. 2 visits with CaOH helped to reduce this patients swelling. A scan was taken to evaluate for root anatomy and relationship of bony impacted wisdom tooth to the distal surface of the #27. Resin core, crown advised.

Previous Hx of trauma over 30 years ago. Recent symptoms to palpation over the root apex. A well planned access in a case like this is crucial as the margin of error is very small. Resin core, NO crown advised.

Cracked tooth on #46/ Necrotic. Middle mesial. Resin core and crown advised. Patient was a gagger and very difficult to take all rads.

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Retreatment. This case was originally done by an endodontist who was very smart (I don't know who it is). 15 years ago whoever treated this case stopped hogging out the D root and packed the case with a somewhat minimal foot print. Recently this patient had a swelling and acute discomfort. We retreated the case over 2 visits with CaOH. At the time of the fill patient was asymptomatic, two stage core fill. If one thinks that all their cases will last a lifetime, think again, but if one "prepares for a future failure" and plans accordingly, we can help maintain survival outcomes if the need becomes necessary.

Minimally invasive full service endodontics. Recent symptoms. The mesial root was challenging to negotiate and mid-root curvatures are the worst to manage and easiest to remove excess furcal dentin IMHO. 4 canals and resin core, advised a full crown.

Cracked tooth. Recent symptoms. Advised a conservative crown ASAP.

Retreatment, guarded PG, A lovely 71YF, had this RCT done over 20 years ago. Recent symptoms. CBCT shows no radiographic findings on the other roots. Image guided access. Interim CaOH (she felt better). Amalgam/resin core.

Distally tipped upper #17. Very difficult to do without heat treated files. Resin core.

Necrotic lower #36. Removal of temp and re-prepped crown margins for RD. Ready for impression.

Cracked upper #16. Minimally invasive. 4 canals/resin core. Advised a full crown ASAP.

Multiple issues here. Two broken instruments in the #25. One was removed via braiding and another kept in-situ after bypassing. Restored with 2 fiber posts and resin core. The #26 was also previously initiated. RD could not negotiate the MB2. I then broke a file in the apical part of the MB2. Amalgam core. Advised 2 crowns.

IP case. C-shape anatomy. Resin core, advised a crown.