Examples of cases undertaken by Dr Aminnejad. Broken instrument removal
Removal of instrument fractures can always be problematical and time consuming. This fractured file tip in the distal root of a lower right six was removed with the use of ultrasonic and the IRS system.
Today, separated instruments can usually be removed due to technological advancements in vision, ultrasonic instrumentation, and microtube delivery methods. Specifically, the dental operating microscope allows clinicians to visualize most broken instruments, and fulfills the age-old adage, “If you can see it, you can probably do it.” In combination, the microscope and ultrasonic instrumentation have driven “microsonic” techniques, which have dramatically improved the potential and safety of removing broken instruments. Courtesy: DR. B Aminnejad
The patient was referred by his general dentist for endodontic treatment of tooth 44 with a clear infection. Patient was symptomatic. Root canal treatment was done through the crown successfully. Courtesy: DR. B Aminnejad
Radiographic evidence of postoperative healing 12 months following root canal treatment
Healing of a large lesion in a upper and lower molars after proper dental instrumentation and irrigation
X-Rays of infected upper right second molar and lower left first molar, the dark areas are a result of inflammation.6 months later the dark zones of inflammation are shrinking. The review appointment confirmed complete healing. Upper right first molar.
Careful apical preparation of all four canals resulted in an excellent endodontic outcome. Courtesy: DR. B Aminnejad
Infected lower left first molar
Sometimes it’s in the patient’s best interest to extend the life of his or her natural teeth for as long as possible, and other times it’s not. We try to save every tooth. The patient returned and the case was obturated with warm vertical condensation. He returned back in 6 months showing remarkable healing .
Courtesy: DR. B Aminnejad
Apical periodontitis is a chronic inflammatory disorder of periradicular tissues caused by aetiological agents of endodontic origin. Following the thorough shaping, cleaning and obturation of the complex canal anatomy, healing can be expected in approximately 84% of cases. The diagnosis, management and monitoring of periapical pathology following root canal treatment requires thorough clinical and radiographic examination. The expected normal healing of the periapical tissue following RCT consists of complex regeneration of bone, cementum and periodontal ligament.6 This occurs at a histological level which clinicians are unable to monitor routinely. Therefore, the most common method of observing pathological alterations is via radiographic diagnosis.
At Deva Dental Clinic, we are happy to accept private dental referrals from our colleagues for Endodontic treatment
Severe curved canals
The patient was referred by his general dentist for endodontic treatment of tooth 16 with severely curved mesiobuccal root. Clearly, it was a challenging case and took a little more time to complete than normal. The canals were successfully prepared and obturated.
The use of MTA (Mineral Trioxide Aggregate) for treating open-apex and immature teeth
MTA has revolutionised Endodontic when treating open-apex and immature teeth. Newer endodontic techniques and materials are constantly changing how we perform endodontic treatment. What we learned in dental school just a few years ago may be old school now. Our patients deserve the very latest that dentistry has to offer. MTA apexification is just one of many new innovations in endodontics.
Courtesy: DR. B Aminnejad
Showing to the calcified canal system the patient was referred to optimise the chances of successful endodontic treatment. With the aid of a dental operating microscope a conservative access cavity was created and all root canals were successfully treated.
New technology in endodontics has made re-treatment easier. Dental microscopes are not just for surgery but aid in the finding of extra canals and visualization with hard to see crowns. Ultrasonics and rotary files help guide us into calcified canals that would otherwise remain unfound. Courtesy: DR. B Aminnejad
Broken post removal
This is another case referred by a general dental practitioner for fractured post removal and retreatment. Patient was expecting an extraction, but the tooth was retreated successfully in two sessions. As you can see, the canal has been packed with calcium hydroxide in between the two appointments.
Courtesy: DR. B Aminnejad
Patient referred for RCT of 46. The tooth has very long roots.
Dr Aminnejad qualified (BDS, Dental Surgeon) from Karolinska Institute, Stockholm, Sweden in 1993. After his graduation, he worked as teacher's assistant in two departments (prosthodontics and endodontics) helping undergraduates. In 2014, he successfully completed the three year-long Postgraduate Master's degree in Endodontology (Root canal treatment). GDC number: 85144 Dental Surgeon BDS, MSc Endodontology
We will periodically add cases as they come. These are the cases that make endodontics interesting and challenging!
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