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    • Dr.Ozaibi د.العزيبي
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    Case: DT14 – The Migration “Primary Becames the Accessory Canal “

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    By Dr. Mohsen Saeed Ozaibi on April 10, 2017 Dental Cases, Featured
    In this clinical case report by Dr. Mohsen S. Ozaibi Via Creative Dental Center (@creaiveCDC), I documented and  performed a root canal obturation on a #9 ( Upper Lateral incisor ) with migrated primary canal.

    Case DT:14

    The Migration

    Primary Becames the Accessory Canal

    Diagnosis

    Patient came with some discomfort from a previous treatment, where all the front teeth had crowns with orthodontic treatment on them which lead to complex root anatomy ( very tight and curved ).

    On examination, the patient had severe pain on most front teeth ( positive test for pulpitis with cold test)

    Panoramic View | OziDent
    Panoramic View | OziDent
    Panoramic - cropped | Ozident
    Panoramic – cropped | Ozident

    On Closer examination of the Radiograph, it shows some radioleuceny around the root apexs, which is normal with aggressive orthodontic treatments.

    The Scenario

    For this case, the issue isn’t the Root canal treatment for say but its due to another dentists who aggressively did cleaning and shaping and lead to canal migration.

    • First of all, the tooth #9 was radio-graphed to understand the morphology of the tooth which showed a curvature towards the canine.
    Before Root canal treatment started | OziDent
    Before Root canal treatment started | OziDent
    • Pulp tissue was removed and working length was determined.
    Curvature expressed by file no. 15 | OziDent
    Curvature expressed by file no. 15 | OziDent
    • The current dentist continued cleaning and shaping with this image in mind without any problems.
    • Once the dentist finalized the shape and completely cleaned the canals, the obturation step commissioned.
    • During the obturation step, the Main Gutte-percha was placed and a Periapical was taken, the following problem appeared.
    Primary Canal Migration | OziDent
    Primary Canal Migration | OziDent
    • The primary canal has migrated towards being 100% parallel the along axis of the root and not following the apex curvature, this can happen in most cases due to aggressive cleaning and shaping.
    • The case was refereed to me to fix this issue.

    The Solution

    • In this situation its best to use smaller File ( #8, #10 #15) to initiate the primary canal curvature and remove the redirect the artifical canal into being part of the primary canal, but it this case it was difficult to enter the apex curvature.
    • The other treatment is to obturatate the primary canal with and treat the apex curvature as a secondary canal.
    • First of all, add a few drops of sealer into the canal and then use the main GP cone to fill the artificial primary canal the pressure of the main cone will push the sealer into the original curvature ( make the sealer thick and use the sealer with cortisone to minimize inflammatory reaction).
    • Obturate normally and once done, take a periapical film to confrim the results.
    Sealer filled and GP placed | OziDent
    Sealer filled and GP placed | OziDent
    • The final results, show the apex curvature sealed with sealer and the artificial canal filled correctly.
    • Follow up will occur within 3 months of treatment to confirm success.

    Images:

    • Case documentation, Edit and photography is courtesy of Dr. Mohsen S. Ozaibi at Creative Dental Center, Abu dhabi.
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    Dr. Mohsen Saeed Ozaibi
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    Mohsen Saeed Al Ozaibi, BDS, MBA. A Dentist at Bani Yas Medical Clinic and at Emirates Jordanind Medical Center, Founder of OziDent.com. Graduated in 2009 with a Bachelor's Degree in Dental Science from Misr International University and a Master's degree in Business and Administration from the University of the People. A veteran in digital dental content publishing and marketing.

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    علشان عدم وضوح ورش العمل … جمعتها ورتبتها من اجل تسهيل الحضور @sharjahef #sef2025 
———————————————
سعادتكم غايتنا و رضاكم نيتنا 
وصحتكم هدفنا وتعليقاتكم تهمنا
———————————————
للتواصل:
‏‎‏Whatsapp: 0562861010
‏‎‏Snap: @dr.ozaibi
‏Email: mohsen@ozident.com
‏‎‏‎ابوظبي - Abu Dhabi, UAE
‏________ د. محسن العزيبي __________
دكتور محسن سعيد سيف العزيبي
- طبيب أسنان عام.
- علاج العصب بدون الم.
- خبرة طويلة في علاج الأطفال واستخدام الغاز الضاحك للاطفال.
- مدرب حياة معتمد دولياً.
- حاصل علي ماجستير تسويق و تجارة
- مؤسس الموقع التعليمي لطب الاسنان OziDent.com
‏________ D R . M O H S E N __________
‏‎‏Dr. Mohsen said Saif Al Ozaibi
‏- General Dentist
‏- Painless Root canal 
‏- child management under nitrous oxide sedation. 
‏- Certificated Life coach 
‏- An MBA holder in marketing
‏- founder of the dental educational website OziDent.com
____________________________________
وما توفيقي الا بالله واختموا إعجابكم بـ ( ماشاء الله )
دقة المواعيد مهمة لذلك 
علشان اعطيكم حقكم راعوا موعدكم 
____________________________________
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‏www.ozitect.com | mail@ozitect.com | @ozitect
____________________________________
‏#explorer #اكسبلور
    علشان عدم وضوح ورش العمل … جمعتها ورتبتها من اجل تسهيل الحضور @sharjahef #sef2025 
———————————————
سعادتكم غايتنا و رضاكم نيتنا 
وصحتكم هدفنا وتعليقاتكم تهمنا
———————————————
للتواصل:
‏‎‏Whatsapp: 0562861010
‏‎‏Snap: @dr.ozaibi
‏Email: mohsen@ozident.com
‏‎‏‎ابوظبي - Abu Dhabi, UAE
‏________ د. محسن العزيبي __________
دكتور محسن سعيد سيف العزيبي
- طبيب أسنان عام.
- علاج العصب بدون الم.
- خبرة طويلة في علاج الأطفال واستخدام الغاز الضاحك للاطفال.
- مدرب حياة معتمد دولياً.
- حاصل علي ماجستير تسويق و تجارة
- مؤسس الموقع التعليمي لطب الاسنان OziDent.com
‏________ D R . M O H S E N __________
‏‎‏Dr. Mohsen said Saif Al Ozaibi
‏- General Dentist
‏- Painless Root canal 
‏- child management under nitrous oxide sedation. 
‏- Certificated Life coach 
‏- An MBA holder in marketing
‏- founder of the dental educational website OziDent.com
____________________________________
وما توفيقي الا بالله واختموا إعجابكم بـ ( ماشاء الله )
دقة المواعيد مهمة لذلك 
علشان اعطيكم حقكم راعوا موعدكم 
____________________________________
التسويق و التصميم تحت رعاية شركة OziTect 
‏www.ozitect.com | mail@ozitect.com | @ozitect
____________________________________
‏#explorer #اكسبلور
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