SR.

NO : DATE : CASE PAPER NO: PATIENT NAME : AGE : SEX : ADDRESS : CLINICAL FEATURES Pain on percussion Gingival swelling or sinus tract Purulent exudate from gingival margin Mobility of the tooth SUCCESS/ FAILURE RADIOGRAPHIC FEATURES Pathologic root resorption Furcation radiolucency Periapical radiolucency Lamina dura integrity SUCCESS/ FAILURE DAY 0 AT OBTURATION AT 3 MONTHS AT 6 MONTHS AT 9 MONTHS

K FILE TIME TAKEN PROTAPERS PROFILES .SR NO.

SR NO. AT OBTURATION CLINICAL SUCCESS/ FAILURE RADIOGRAPHIC SUCCESS/ FAILURE AT 3 MONTHS CLINICAL SUCCESS/ FAILURE RADIOGRAPHIC SUCCESS/ FAILURE AT 6 MONTHS CLINICAL SUCCESS/ FAILURE RADIOGRAPHIC SUCCESS/ FAILURE AT 9 MONTHS CLINICAL SUCCESS/ FAILURE RADIOGRAPHIC SUCCESS/ FAILURE .

KHARGHAR NAVI MUMBAI Year Month Date Case paper Number: Name: Address: Date of birth: Year Month Date Age in years: Years Months Sex (M/F): .PROFORMA YMT DENTAL COLLEGE AND HOSPITAL.

Type of decay History of pain Duration of pain Pain on Mobi Vita Swellin.Ginigival percuss -lity -lity g swelling -ion or sinus tract Pururlent exudate from gingival margin Any other PREPROCEDURAL RADIOLOGICAL ASSESMENT Tooth No.PREPROCEDURAL CLINICAL ASSESMENT Tooth No. Periapical radiolucency Lamina integrity dura Furcation radiolucency .

POST PULPECTOMY CLINICAL ASSESMENT Date Tooth No. Pain Pain on Mobility percussion Swelling Ginigival Pururlent swelling or exudate sinus tract from gingival margin Success/ Failure Immediately post pulpectomy At 3 months At 6 months At 9 months .

POST PULPECTOMY RADIOLOGICAL ASSESMENT Date Tooth No. Periapical radiolucency Lamina dura integrity Furcation Pathologic radiolucency root resorption Success/ Failure Immediately post pulpectomy At 3 months At 6 months At 9 months .

TIME TAKEN FOR INSTRUMENTATION: INSTRUMENT FRACTURE: OBTURATION ASSESSMENT: ROOT PERFORATION: .

Preoperative picture 6. Seal with cotton and ZOE 15. 23. Perform BMP with K or Profiles or Protapers with intermittent irrigation 12. contour and crimp it 25. pictures and fill forms. Obturate with ZOE. Remove dressing 18. Recall at 3. . Rubber dam application 5. Access opening with airotor and burs (-----------------------) 7. Insert H files and barbed broaches 2 remove any remaining tissue with intermittent irrigation of hypochlorite and saline. Sodium hypochlorite irrigation 8. Stop the stopwatch after instrumentation 14. After 1 week select stainless steel crown. Dry the canals with paper points 20.6 and 9 months take iopa. Local anesthetic gel application 3. Local anesthesia 4. After 3 days apply rubber dam 17. 21. Take xray 22. Enlarge upto 15 no K. Start stop watch 11. Take working length xray 10. Seal with GIC. Cement crown with GIC.file 9. Last rinse should be of saline 13. 26. Remove rubber dam 24. Remove rubber dam 16.1. Form filling 2. 19.

Saline (150-200 ml) 28. green lined burs-------------------------) 19. Airotor 18. Stop watch 24. K-files 21. Green cloth 2. Pluggers 37. Cotton 29.Materials: 1. Rubber dam kit 16. Vaseline . Camera 17. Iopa 22. Syringes and needles 6. Mouth mirror 7. Probe 8. Waste receiver 4. Reamers 36. Film holders 23. Cement carrier 13. Explorer 9. LA gel 14. Barbed broaches 32. Tray 3. Burs(round . ZOE 30. Lentulo spirals 35. Gic 38. Round condenser 12. H files 31. Protaper 26. Cotton holder 5. Spoon excavator 11. Paper points 33. flame shaped. Micromotor handpiece 34. Tweezer 10. Agate spatula 39. Sodium hypochlorite 3% (60-80ml) 20. tapered. Endodontic motor ( endomate) 25. Profiles 27. LA with adrenaline 15.

Contouring plier 44.40. Divider 42. Stainless steel crown 41. Scale 43. Crimping plier .

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