Anterior esthetic restoration using GC sculpt : Pre-Operative Intra Operative Post-Operative Cons Cases : Pulp…
Obturation
Preoperative radiogragh
CBCT Image
3D PRINTING
TEMPLATE FIT
TEMPLATE FIT AND BUR POSITION
INTRAOPRATIVE AND POSTOPERATIVE RADIOGRAPHS
Clinically periapical pathology, Preoperative radiograph
CBCT Image
3D PRINTING
TEMPLATE FIT AND BUR POSITION
INTRAOPERTIVE AND POSTOPERATIVE RADIOGRAPHS
Fig : 1
Fig : 2
Intraoral periapical radiographs a) after 1-month b)6 months c)1-year d) 2 years follow-ups
Cone beam computed tomography images showing the healing of fracture root; (a) sagittal view, (b) coronal view
Preoperative clinical view showing intraoral sinus tract
Preoperative clinical palatal view showing caries
Preoperative clinical palatal view showing intraol
Preoperative Occlusal view showing parapul
Radiograph showing guttapercha tracing into
palatogingival groove exposedafter elevating
palatogingival groove exposedafter elevating fu thickness flap
Placement of bone graft and PRF
Sealing of PGG with MTA plus
flap sutured
Postoperative clinical palatal view after one year
Pre- operative x ray irt 21
W.L determination irt 21
Rubber dam isolation
access opening
Centrifugation
PRF
PRF Placement in the apical third of canal
MTA placement in coronal third
Post endo restoration
Pre- operative radiograph irt11
W.L determination
BIODENTINE PLACEMENT
RETROGADE FILLING-
POSTOPERATIVE
PRE- OPERATIVE
IMMEDIATE BLEACHING
1 week later
After preparation for composite veneering
ETCHING
BONDING
COMPOSITE BUILD- UP
Final
BEFORE
AFTER
Pre operative radiograpgh 21
obturation 21
Checking fit of template
flap reflection
Guided osteotomy
after root end preparation
MTA root end filling
suturing
Post-operative 21
CBCT image
3D template fabrication
TEMPLATE
PREOPERATIVE CLINICALLY
POSTOPERATIVE CLINICALLY
PREOPERATIVE RADIOGRAPH
WORKING LENGTH DETERMINATION
APEXIFICATION WITH MTA
BACK FILLING AND PERMANENT RESTORATION PLACE CORONAALY
Perforation in coronal 3rd of root
Perforation in coronal 3rd of root
Sealed with MTA with file in canal
Oburation after MTA sealing
Perforation sealed with MTA and apicetomy done irt 11
Sutures placed
COMPOSITE SPLINTING DONE 13-23
WL determined irt 11
Drawing blood from pateints left cubital vein
Centrifuged at 3000 rpm for 12 min
PRF
PRF placed
MTA plaed as coronal barrier
After bone guttering
Debridement
PRF with β TCP
Root resection
GTR placed
Sutures placed
Periocol pack placed
3 months post – op
Master cone
obturation
After bleaching
Rct with apexfication irt 11
Working length irt 21
Backfilling with GP
MTA apexfication
PARAMOLARIS irt 46