Patient: 35 year-old male in good health at the time treatment(2017.09.17)
Chief Complaint: mild discomfort on tooth #27
Dental History: caries removal was done with pervious dentist and pulp exposed patient refferd to author for root canal treatment.
Significant Findings (#16): Clinical examination normal periodontal probing depths .Percussion(+) it seems in periapical radiograph tooth #27 has three roots.
Pulp and Periradicular Diagnosis (#16): Chronic Periradicular Periodontitis (Tooth #16),necrosis pulp
Treatment Prognosis: good(#27)
Treatment Plan: Nonsurgical endodontic treatment
Key learning points
1.Withiout CBCT and microscope it is impossible to perform some treatment
2.Modified strategic extended access is important to find canals
3.Cleaning groov is essential part of final phase of treatment