Endodontic Re-treatment of Mandibular molar with 3-mesial canals:

Patient Vladimir, 34 years male
Date 05.2024
Endodontic Re-Treatment of Mandibular molar with apical periodontitis and 3-mesial canals.

34 year old male patient named Vladimir was referred by our collegue for endodontic re-treatment of tooth no. 36 having unsatisfactory previous endodontic treatment and periapical pathology.

On clinical and radiographic examination: Previously endodontically treated 36 with periapical pathology and missed middle mesial canal.


Chronic apical periodontitis of tooth no. 36.

Treatment Process:

Treatment done in 2 visits.

Visit 1:

Under local Anaesthesia rubber dam application was done followed by access opening through old restoration under magnification (Microscope). Previoulsy filled canals were exposed and located. Old root canal fillings were removed with mechanical instrumentation and solvents one by one. Fiber post in distal canal was slowly removed with ultrasonics and canal was negotiated guided with radiographs. After removing old filling from mesial canals, missed middle mesial canal was located with ultrasonics. All canals were then shaped, cleaned and intracanal medication was placed and closed with temporary restoration.

Visit 2:

Under local anaesthesia rubber dam application was done followed by cleaning of canals. After which the canals were dried and obturated (filled) using warm vertical compcation (Thermoplastic obturation). Post and core restoration was done. Patient was referred back to prothosdontist and has been advised follow up after 3 months.

Time: 2.5 hours

Cost: 4400 AED

Doctors who treated

Dr. Riyaz Godil
specialist endodontist;
languages: English, Arabic, Hindi
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