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ENDODONTICS
For radiographic length determination, we rely upon our files and radiographs. For a quick review of terms, the radiographic apex is where the apex appears on the film. The anatomic apex is where the apical foramen is positioned, which may or may not be at the most apical part of the root. When using radiographs to determine the length of the root, it is recommended that we estimate the length of the root from 0.5mm-1.0mm from the radiographic apex.
Here is a post operative film following RCT of #3. I think most people would assume that the obturation looks pretty good.
1 year recall looks good radiographically, however the patient continues to reports some sensitivity.
After some of the extruded sealer has resorbed, its easier to see that there is a slight over fill. Since the patient's symptom persist, the tooth is treated surgically
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Surgical exposure of the root apices shows the extruded gutta percha and sealer.
This case shows how easy it is to overfill a root canal. Length determination using apex locaters as well as radiographs is an important skill for any clinician performing endodontic therapy.
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