Dental Tribune United Kingdom Edition

February 201416 Endo Tribune United Kingdom Edition Faster, easier, safer: experience Constic – the new self-etching, self-adhesive flowable composite from DMG. Constic combines etching gel, bonding agent and flowable in one single product. You thus save treatment steps – and thereby benefit from increased safety during application. Whether for small Class I restorations, linings or fissure sealing: start relying on Constic - the 3-in-1 flowable now! www.dmg-dental.com Constic: Do more with less. The new 3-in-1 flowable: etching, bonding, filling in one step. NEW! AZM_Constic_GB_E_2013_8.indd 1 16.08.13 12:50 T his patient attended in pain from the UL5 and a diagnosis was made of symptomatic Apical Periodontitis. I was aware that the presence of an apical ra- diolucency, curved roots and a heavily restored crown meant that the tooth had a guarded prognosis, but as the patient was keen to keep the tooth we began root canal treat- ment. I placed rubber dam, accessed the tooth, located the canals, patency filed and irrigated. At university I had trained by using the step-back tech- nique with K files, and Pro- Taper hand files. I had start- ing using rotary instruments in my DF1 placement and I attempted to use the rotary files to my corrected working length, but struggled to do so due to the canal curvature. I had struggled to get to grips with using rotary instruments in more curved canals and I therefore returned to using the step-back technique and K-files. Upon obturation, I noted that something was awry as the Thermafil would not seat to length. I was aware that the GP was unable to negoti- ate the canal curvature and a radiograph showed that the gutta percha (GP) was not at length, and some had entered the 2nd canal. This is the third place entry for the 2013 Young Dentist Endodontic Award Case report by Lydia Harris Fig 1 - Pre- operative Radiograph taken 15/04/2013 Fig 2 - Working length Radiograph taken 29/04/2013 Fig 3 - Mid-obturation Radiograph taken 20/05/2013 Fig 4 - Post-op Radiograph taken 20/05/2013 ‘At university I had trained by using the step-back tech- nique with K files, and ProTaper hand files’