VOTE FOR THE BEST CASE

Case Background: Patient presented with SIP/SAP following a restoration completed approximately 2 months prior. Symptoms progressively worsened rather than improved.

Instrumentation Protocol:

• MB1 & DB1: Excalibur 25/.05
• MB2: Excalibur 20/.05
• Palatal: Excalibur 35/.05

Additional Treatment – Tooth #4

Condition: Previously treated tooth with a missed buccal canal

Procedure:

• Carrier removal from palatal canal using Hedström braiding technique
• Canal negotiation and completion of missed buccal canal

Shaping: Excalibur 35/.05

Products Used: Z-Glider EVO, Excalibur files (20/.05, 25/.05, 35/.05)

Instrumentation Sequence (All Four Canals):

• BlueShaper PRO ZX
• #8 C+ file to patency for working length determination
• Z-Glider EVO to working length
• SlimShaper PRO (ZS1, ZS2, ZS3) to working length

Obturation:

• Avalon NeoSEALER EZFlo
• Single cone technique with downpack

Products Used: BlueShaper PRO ZX, #8 C+ file, Z-Glider EVO, SlimShaper PRO (ZS1, ZS2, ZS3), NeoSEALER EZFlo

Files & Instrumentation:

• SlimShaper PRO series (ZS1, ZS2, ZS3) to working length

Imaging:

• Cone shot PA radiograph

Obturation:

• Avalon Bioceramic Sealer: NeoSEALER Flo
• ZS3 gutta percha points

Products Used: SlimShaper PRO files (ZS1, ZS2, ZS3), NeoSEALER Flo, ZS3 gutta-percha

Case Note:

• Acute S-curve present on mesial canals

Files & Instrumentation:

• Z-Glider EVO 15/.03
• BlueShaper PRO (Z1, Z2, Z3)

Obturation:

• Avalon Bioceramic Sealer: NeoSEALER EZFlo

Products Used: Z-Glider EVO 15/.03, BlueShaper PRO files (Z1, Z2, Z3), NeoSEALER EZFlo