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MANSAROVAR DENTAL COLLEGE, BHOPAL, MADHYA PRADESH PHOTO ALBUM MASTER OF DENTAL SURGERY IN DEPARTMENT OF CONSERVATIVE DENTISTRY AND ENDODONTICS DR. ROHAN SINGH BATCH: 2023-2026

1 CERTIFICATE This is to certify that this “PHOTO ALBUM” is Bonafide work carried out by Dr. Rohan Singh in partial fulfillment of the requirements for the degree of Master of Dental Surgery in the department of Conservative Dentistry and Endodontics, at Mansarovar Dental College, Bhopal, Madhya Pradesh. DATE: DR. B. GURUDUTT NAYAK PROFESSOR & HEAD DEPARTMENT OF CONSERVATIVE DENTISTRY AND ENDODONTICS, MANSAROVAR DENTAL COLLEGE BHOPAL, MADHYA PRADESH

2 S. No. CONTENTS PAGE No. ACADEMICS 1. Main Dissertation 3-7 2. Library Dissertation 8-10 3. Poster Presentation 12-13 4. Paper Presentation 14-15 5. Continuing Dental Education Programmes 16-16 6. Patent 21-24 8. Publications 25-27 9. Clinical cases 28-112

3 Main Dissertation TITLE: Comparative evaluation of Bioceramic sealer in dentinal tubules: A confocal laser scanning microscopic analysis of ultrasonic, rotary and conventional placement techniques Background- Successful root canal treatment depends on effective cleaning, shaping, and three-dimensional obturation of the root canal system. Root canal sealers play an important role by filling irregularities, accessory canals, and spaces between dentinal walls and the core obturation material. Penetration of sealer into dentinal tubules may improve adaptation and contribute to sealing of the root canal system. Bioceramic sealers have gained popularity because of their biocompatibility, hydrophilicity, dimensional stability, and potential for bioactivity. However, their penetration into dentinal tubules may be influenced by dentinal anatomy, smear layer removal, moisture conditions, and the method used for sealer placement. Conventional placement with a master gutta-percha cone may provide limited sealer distribution, whereas rotary lentulospiral and ultrasonic techniques may enhance sealer penetration through centrifugal movement and acoustic streaming. Confocal laser scanning microscopy (CLSM) enables assessment of both penetration depth and percentage of sealer penetration within dentinal tubules. Therefore, comparison of different placement techniques is clinically relevant.

4 Aim- The aim of this in-vitro study was to Compare the depth and percentage of sealer penetration into dentinal tubules with ultrasonic, rotary and sealer placement techniques using confocal laser scanning microscopy. Materials and methods- In this study sixty maxillary single-rooted teeth stored in thymol solution will be used in this study. The coronal portions will be cut with a 0.3-mm diamond disc and the root canal length would be standardized at 14 mm. Radiographs will be exposed from facial and proximal views to ensure the presence of a single canal. Conventional access cavities will be prepared with the help of a high-speed hand-piece and burs. The coronal flaring of the cervical third of the root canals will be performed using Sx file (ProTaper rotary files), no.10 K-file will be used to determine the working length (WL) with the ProPex II Apex locator (Dentsply Sirona) which will be confirmed radiographically. The canals will be prepared using ProTaper instruments (Dentsply Sirona) in a 16:1 controlled- torque, low-speed rotary hand piece at 300 rpm, to apical size 30 with a 0.09 taper. Root canal shaping with ProTaper instruments will be performed using following steps • Scouting the coronal two-thirds with size 10 and 15 manual K-files • Shaping the coronal two-thirds with ProTaper rotary files S1 and S2 • Scouting the apical third with manual K-files from size 10 to 15 to WL • Shaping the apical third with ProTaper rotary files S1 and S2 to WL • Finishing the apical third with ProTaper rotary files F1, F2, and F3 to WL.

5 Irrigation protocol Irrigation procedures will be accomplished by using 2mL of 5.25% sodium hypochlorite for each file used. To remove the smear layer, all canals will be irrigated with 3 mL 17% EDTA over 2 minutes followed by 2 mL 1.0% sodium hypochlorite over 1 minute. Finally, the root canals will be flushed with distilled water and canals will be dried with sterile paper points. Placement of sealer The instrumented teeth will be divided randomly into 3 experimental groups Group I (n=20): Endosequence BC sealer will be placed inside the root canal with rhodamine B dye at concentration of 0.1% using disposable tips. The root canal sealer will be activated using ultrasonic file for 10 seconds. Obturation will be done using Single cone method and excess Gutta percha will be condensed using a heated plugger. Group II (n=20): Endosequence BC sealer will be applied in the canal using lentulospiral. Selected lentulo spiral should not bind in the prepared canal and reach the prepared working length. After the hand piece is set to enable the lentulo spiral to spin the material apically, the 0.05 ml of Endosequence BC sealer will be placed into the canal and gently rotated to working length and worked gently up and down within the canal for at least 5 seconds. Obturation will be done using Single cone method. Excess Gutta percha will be condensed

6 using a heated plugger. Group III (n=20): Endosequence BC sealer will be placed inside the root canal with rhodamine B dye at concentration of 0.1% using disposable tips. Master cone will be coated with sealer and then placed inside the canal. Obturation will be done using Single cone method. Excess Gutta percha will be condensed using a heated plugger. Extruded sealer from apical foramen, if present, will be wiped off with moist cotton. Coronal end of root canal will be sealed with Orafil-G temporary paste. All the roots will be stored in container at 100% humidity and 37˚C for 7 days to allow the sealer to set. Sectioning of root The roots will be sectioned using a diamond disc at 200 rpm and continuous water cooling to prevent frictional heat. Horizontal sections will be prepared at the 3,6 and 9-mm levels from the apical foramen. Then, the surface will be polished using sand papers number 500, 700, and 1200 under running water to eliminate debris product of the cutting procedure. The samples will be submitted to confocal laser microscopy having 2 mm thickness. The dentin segments will be examined on a Confocal microscope (Newport INTEGRITY 2 FV 1200). The respective absorption and emission wave lengths for the Rhodamine B will be 540 nm. Dentin samples will be analyzed using the 10× lens for percentage of penetration and 20 × lens for depth of penetration into dentinal tubules. To

7 calculate the percentage of sealer penetration around the root canal, first each image will be imported into the IOB software and the circumference of root canal will be measured. Next, areas along the canal walls in which the sealer penetrated into dentinal tubules will be outlined and measured using the same method. Subsequently, the percentage of root canal sealer penetration in that section will be established. The canal wall serves as the starting point and sealer penetration into dentinal tubules will be measured to a maximum depth of 1,000 μm. These data points will be averaged to obtain a single measure for each section. Conclusion- This study has led to the following conclusion. Because it produces a three-dimensional endodontic filling and effectively improves the root canal's sealing capacity, the ultrasonic sealer placement technique is a dependable method. The depth and percentage of dentinal tubule penetration of bioceramic sealers are greatly influenced by the sealer placing technique, according to the limitations of this in vitro confocal laser scanning microscopic investigation. The best method for increasing sealer penetration was ultrasonic agitation, which was followed by rotary placement. Conventional placement showed relatively lower penetration values. It is advised that bigger sample sizes and long-term clinical evaluations be used in future research to confirm these results and determine their therapeutic significance.

8 Library Dissertation TITLE: Endodontic Irrigants & Irrigation Devices Successful endodontic treatment depends on the effective combination of mechanical instrumentation, chemical irrigation, and three-dimensional obturation of the root canal system. The primary objective of root canal therapy is to eliminate vital or necrotic pulp tissue, microorganisms, microbial by-products, biofilms, and accumulated debris from the complex root canal system. Mechanical instrumentation alone cannot adequately reach all areas of the canal because of anatomical complexities such as fins, isthmuses, lateral canals, irregularities, and dentinal tubules. Therefore, irrigation plays a fundamental role in achieving effective chemomechanical preparation and disinfection of the root canal system. An ideal endodontic irrigant should possess multiple properties, including broad antimicrobial activity, tissue-dissolving ability, smear-layer removal, lubrication, low surface tension, and the ability to penetrate dentinal tubules. At the same time, it should be biocompatible, non-toxic to periapical tissues, and should not adversely affect dentin or interfere with the sealing ability of root canal filling materials. Since no single irrigating solution can fulfil all these requirements, effective irrigation generally involves the sequential or combined use of different irrigants with complementary properties. The development of endodontic irrigants has evolved considerably over the

9 past century. Water and saline were commonly used before the 1940s, while sodium hypochlorite subsequently became an important irrigant because of its antimicrobial activity and ability to dissolve organic tissues. EDTA was introduced into endodontics in 1957 and provided an important means of removing the inorganic component of the smear layer and facilitating instrumentation of narrow or calcified canals. Chlorhexidine later gained importance because of its antibacterial properties. More recently, combination irrigants such as MTAD and QMix, as well as natural agents and newer antimicrobial approaches, have been investigated to overcome the limitations of conventional irrigants. In addition to the chemical characteristics of an irrigant, its delivery and distribution within the root canal are critical determinants of clinical effectiveness. Conventional irrigation is traditionally performed using a syringe and needle; however, this method may have limitations in delivering irrigant effectively into the apical portion and anatomically complex regions of the canal. Furthermore, excessive pressure or improper needle positioning may increase the risk of irrigant extrusion beyond the apical foramen. These limitations have stimulated the development of newer irrigation devices and activation techniques designed to improve irrigant penetration, fluid exchange, debris removal, and disinfection while maintaining patient safety. Various irrigation and activation systems, including passive ultrasonic

10 irrigation, sonic activation, negative-pressure irrigation, laser-activated irrigation, and other contemporary systems, have been developed to enhance the action of irrigating solutions. Studies included in the dissertation demonstrate that several of these techniques can improve debris and smear-layer removal, particularly in the apical third and other difficult-to-reach areas of the root canal system. Thus, modern endodontic irrigation should be considered a dynamic interaction between the chemical properties of the irrigant, its concentration and exposure time, method of delivery, and activation technique. A thorough understanding of endodontic irrigants and irrigation devices is therefore essential for achieving predictable canal disinfection, minimizing procedural complications, preserving dentinal integrity, and ultimately improving the prognosis of root canal treatment.

11 Participation in national conferences and conventions 1. Poster presentation on “SWEEPS to Sweep the canal” 24th IACDE national PG convention 2024 at Chennai 2. Poster presentation on “Phytomedicines And GIC” 39th IACDE National Conference 2024 at Mumbai 3. Paper presentation on “Enigma in Endodontics” 25th IACDE national PG convention 2025 at Agra 4. Paper presentation on “C shaped canals demystified: A clinical challenge in three dimensions” 40th IACDE National Conference 2025 at Chandigarh

21 UV Sterilizing Dental Instrument Tray Abstract: Every dentist thinks about proper infection control in their practice. Dental Sterilization Equipment makes this easy, giving dentists peace of mind. The right equipment offers the infection control dentists need while also helping to make their offices more efficient. Sterilization is a procedure that destroys any living organism, pathogenic and non- pathogenic, in a vegetative form or spore present on the surface of the material to be sterilized. Over the years, the most common forms of physical heat sterilizations in dental practices have been saturated steam, chemical steam, and dry heat. Here to make the work simpler a Dental Tray is design with sterilization capability. The tray which is capable of holding all the sendal equipment’s is capable of providing sterilization using UV radiation which can be switched on and off manually. It is also capable to identify if an instrument is extracted from the tray and if the same is placed back, if the lid is closed it will start performing automatic sterilization to keep the other equipment’s along with the one placed back into the tray sanitized. Here UV light is used for sterilization from all the ends. Ultraviolet (UV) light is measured in wavelengths with the UVC wavelength within the range of 100 nanometres (nm) to 280 nm emitting highly effective sterilization power. UVC germicidal wavelength at 260nm is the most effective to kill harmful microorganisms in the air, water, and on surfaces.

23 Smart Dental Mirror Abstract This device is an improved version of the traditional dental mirror that is commonly used in dental examinations. The current problem with the conventional dental mirror is that it requires careful inspection of the mirror's surface projection to analyze the details of dental decay, making it a time- consuming process for dentists. To solve this issue, the new dental mirror has a small camera sensor and a wiper mechanism, which helps to clean off the moisture of the patient's breath, which typically accumulates during the examination. The camera sensor attached to the mirror will continuously record all the data and transmit it to a display screen or even a mobile phone. This innovative instrument will be able to sense possible dental problems, decay, and provide probable solutions for the dentist to confirm the diagnosis. This new device will help improve the efficiency of dental examinations and reduce the time required for accurate diagnosis, making it easier for both the dentist and the patient. It will be a significant advancement in the field of dentistry, and it has the potential to revolutionize the way dentists carry out examinations.

25 Journal Indexed in: Pubmed.

27 CASE NO: 1 TITLE: Management of class II Ellis and Davey fracture with esthetic correction w.r.t 11. NAME: Mr. Ravi AGE/SEX: 24 yrs/M OPD NO: 25L.31.66 CHIEF COMPLAINT: Fracture in the upper front tooth region for 15 days. CLINICAL FINDINGS: Ellis class II fracture with 11. RADIOGRAPHIC FINDINGS: Fracture involving enamel, dentin. DIAGNOSIS: Symptomatic reversible pulpitis 11. TREATMENT DONE: Direct composite restoration with 11.

28 PRE-OPERATIVE PHOTOGRAPH 37 % PHOSPHORIC ACID ETCHING PHOTOGRAPH

29 BONDING AGENT PHOTOGRAPH POSTOPERATIVE PHOTOGRAPH

30 CASE NO: 2 TITLE: Management of class II Ellis and Davey fracture with esthetic correction w.r.t 11. NAME: Mrs. Himanshi AGE/SEX: 30 yrs/ F OPD NO: 25C.22.75 CHIEF COMPLAINT: Fracture in the upper front tooth region for 20 days. CLINICAL FINDINGS: Ellis class II fracture with 11. RADIOGRAPHIC FINDINGS: Fracture involving enamel & dentin. DIAGNOSIS: Symptomatic reversible pulpitis 11. TREATMENT DONE: Direct Composite restoration with 11.

31 PREOPERATIVE PHOTOGRAPH SHADE SELECTION PHOTOGRAPH 37 % PHOSPHORIC ACID ETCHING PHOTOGRAPH

32 BONDING AGENT PHOTOGRAPH POSTOPERATIVE PHOTGRAPH

33 CASE NO: 3 TITLE: MANAGEMENT OF TRAUMATIC EXTRUSION NAME : Miss. Varsha AGE/SEX : 18 yrs./ F OPD NO : 23B.23.56 CHIEF COMPLAINT: A rotated and extruded tooth following the road accident CLINICAL FINDINGS: Rotated and extruded tooth with 22 DIAGNOSIS: Traumatic Extrusion with 22 TREATMENT DONE: Repositioning followed by Splinting

34 PREOPERATIVE RADIOGRAPH SPOT ETCHING SPLINTTING PREOPERATIVE PHOTOGRAPH

35 14 DAYS FOLLOWUPSPLINTTING

36 CASE NO: 4 TITLE: Vital pulp therapy of a carious lesion w.r.t 46 on buccal surface using MTA. NAME: Baby Yashi AGE/SEX: 16yrs./ F OPD NO: 25D.29.30 CHIEF COMPLAINT: Patient complaint of discolored tooth in upper front tooth region. DIAGNOSIS: Cervical abrasion w r t 46. TREATMENT DONE: Direct composite restoration w r t 46.

37 PREOPERATIVE PHOTOGRAPH 37 % PHOSPHORIC ACID ETCHING PHOTOGRAPH

38 APPLICATION OF BONDING AGENT APPLICATION OF MTA APPLICATION OF GIC

39 PERMANENT RESTORATION

40 CASE NO: 5 TITLE: Management of occlusal class I caries w.r.t 38 with direct composite restoration using occlusal stamp technique. NAME: Mr. Lucky AGE/SEX: 29yr/ M OPD NO: 25F.211.83 CHIEF COMPLAINT: Decayed tooth and sensitivity w r t 38. DIAGNOSIS: Class II caries w r t 38. TREATMENT DONE: Direct composite restoration with deep margin elevation w r t 38.

41 RECORDING OCCLUSAL STAMP 37 % PHOSPHORIC ACID ETCHING PHOTOGRAPH PREOPERATIVE PHOTOGRAPH

42 APPLICATION OF BONDING AGENT POSTOPERATIVE PHOTOGRAPH

43 CASE NO: 06 TITLE: Endodontic management of lower premolar with 2 canals w r t 46. NAME: Mr. Neeraj AGE/SEX: 40 yrs./M OPD NO: 24.G.18.205 CHIEF COMPLAINT: Pain in right lower back tooth region. CLINICAL FINDINGS: Deep occlusal caries w r t 46. RADIOGRAPHIC FINDINGS: Radiolucency involving enamel, dentin and pulp w r t 46. DIAGNOSIS: Symptomatic irreversible pulpitis w r t 46. TREATMENT DONE: Non-surgical root canal treatment w r t 46.

44 PREOPERATIVE RADIOGRAPH WORKING LENGTH RADIOGRAPH

45 MASTER CONE RADIOGRAPH POSTOPERATIVE PHOTOGRAPH

46 CASE NO: 07 TITLE: Endodontic management of maxillary premolar with isthmus NAME: Mrs. Shayna AGE/SEX: 35 yrs./ F OPD NO: 26D.25.213 CHIEF COMPLAINT: Pain in the upper right back tooth region since 2 months. CLINICAL FINDINGS: Previously restored with 14. RADIOGRAPHIC FINDINGS: Radiolucency involving enamel, dentin and pulp with 14. DIAGNOSIS: Symptomatic irreversible pulpitis with 14. TREATMENT DONE: Non-surgical root canal treatment with 14.

47 PRE-OPERATIVE RADIOGRAPH ACCESS OPENING

48 WORKING LENGTH RADIOGRAPH MASTER CONE RADIOGRAPH

49 POST-OPERATIVE RADIOGRAPH POST-OBTURATION PHOTOGRAPH

50 CASE NO: 08 TITLE: Endodontic management of separated instrument w r t 45. NAME: Miss Sumi AGE/SEX:36yrs./F OPD NO: 25D.3.06 CHIEF COMPLAINT: Pain and food lodgement in lower right back tooth region. CLINICAL FINDINGS: Distoproximal caries w r t 45. RADIOGRAPHIC FINDINGS: Radiolucency involving enamel, dentin and pulp w r t 45, Fractured instrument w r t 45. DIAGNOSIS: Symptomatic irreversible pulpitis w r t 45. TREATMENT DONE: Non-surgical root canal treatment w r t 45.

51 PREOPERATIVE RADIOGRAPH INSTRUMENT RETRIEVAL RADIOGRAPH

52 SEPERATED INSTRUMENT PHOTOGRAPH WORKING LENGTH RADIOGRAPH

53 MASTER CONE RADIOGRAPH POST-OPERATIVE RADIOGRAPH

54 CASE NO: 09 TITLE: Endodontic management of Ellis class III fracture with fiber post. NAME: Mr. Sunil Solanki AGE/SEX: 30 yrs/ M OPD NO: 24A.17.187 CHIEF COMPLAINT: Fractured tooth in upper front tooth region since 3 weeks CLINICAL FINDINGS: Ellis class III fracture w r t 11,21. RADIOGRAPHIC FINDINGS: Ellis class III fracture w r t 11,21. DIAGNOSIS: Irreversible pulpitis w r t 11,21. TREATMENT DONE: Non-surgical root canal treatment followed by fiber post and core followed by full coverage restoration w r t 11,21.

55 PRE-OPERATIVE PHOTOGRAPH PRE-OPERATIVE RADIOGRAPH WORKING LENGTH RADIOGRAPH

56 MASTER CONE RADIOGRAPH OBTURATION RADIOGRAPH POST SPACE PREPARATION RADIOGRAPH

57 FIBRE POST POST OPERATIVE PHOTOGRAPH

58 CASE NO: 10 TITLE: Endodontic management of mandibular premolar with 2 canals NAME: Mrs. Shiv devi AGE/SEX: 63 yrs./ F OPD NO: 25E.16.42 CHIEF COMPLAINT: Pain in the right lower back tooth region. CLINICAL FINDINGS: Deep occlusal caries in 35 RADIOGRAPHIC FINDINGS: Occlusal radiolucency involving enamel, dentin and pulp with periapical radiolucency with 35. DIAGNOSIS: Symptomatic irreversible pulpitis with asymptomatic apical periodontitis in 35. TREATMENT DONE: Non-surgical root canal treatment 35.

59 PRE-OPERATIVE RADIOGRAPH ACCESS OPENING

60 MASTER CONE RADIOGRAPH WORKING LENGTH RADIOGRAPH

61 POST-OPERATIVE RADIOGRAPH

62 CASE NO: 11 TITLE: Endodontic management of occlusal caries w r t 46 NAME: Mrs. Astha AGE/SEX: 36 yrs./ F OPD NO: 25D.21.146 CHIEF COMPLAINT: Pain and food lodgement in lower right back tooth region. CLINICAL FINDINGS: Occlusal caries w r t 46. RADIOGRAPHIC FINDINGS: Radiolucency involving enamel, dentin and pulp w r t 46. DIAGNOSIS: Symptomatic irreversible pulpitis w r t 46. TREATMENT DONE: Non-surgical root canal treatment w r t 46.

63 ACCESS OPENING PHOTOGRAPH WORKING LENGTH RADIOGRAPH PREOPERATIVE RADIOGRAPH

64 POST-OPERATIVE RADIOGRAPH POST-OPERATIVE PHOTOGRAPH

65 CASE NO: 12 TITLE: Endodontic management of radix entomolaris w r t 46. NAME: Mr. Veeru AGE/SEX: 21 yrs./M OPD NO: 25F .2.23 CHIEF COMPLAINT: Pain in right lower back tooth region. CLINICAL FINDINGS: Deep occlusal caries w r t 46. RADIOGRAPHIC FINDINGS: Radiolucency involving enamel, dentin and pulp w r t 46. DIAGNOSIS: Symptomatic irreversible pulpitis w r t 46. TREATMENT DONE: Non-surgical root canal treatment w r t 46.

66 PREOPERATIVE RADIOGRAPH WORKING LENGTH RADIOGRAPH

67 MASTER CONE RADIOGRAPH POSTOPERATIVE PHOTOGRAPH

68 CASE NO: 13 TITLE: Endodontic management of decayed teeth. NAME: Mr. Ramesh Bhinte AGE/SEX: 32 yrs/ M OPD NO: 24I.14.101 CHIEF COMPLAINT: Pain in left lower back teeth region since1 month. CLINICAL FINDINGS: Mesioproximal caries with 38 RADIOGRAPHIC FINDINGS: Radiopacity involving enamel and dentin with 38. DIAGNOSIS: Symptomatic irreversible pulpitis w r t 38. TREATMENT DONE: Non-surgical root canal treatment w r t 38.

69 PRE-OPERATIVE RADIOGRAPH WORKING LENGTH RADIOGRAPH

70 MASTER CONE RADIOGRAPH POST-OPERATIVE RADIOGRAPH

80 CASE NO: 14 TITLE: Endodontic management maxillary molar with second mesiobuccal canal. NAME: Mr. Sonesh Sharma AGE/SEX: 35 yrs./ M OPD NO: 25C.12.73 CHIEF COMPLAINT: Pain in the upper left back tooth region since 1 months. CLINICAL FINDINGS: Deep occlusal caries with 16. RADIOGRAPHIC FINDINGS: Radiolucency involving enamel, dentin and pulp with 16. DIAGNOSIS: Symptomatic irreversible pulpitis with 16. TREATMENT DONE: Non-surgical root canal treatment with 16.

81 PRE-OPERATIVE RADIOGRAPH WORKING LENGTH RADIOGRAPH

82 MASTER CONE RADIOGRAPH POST-OPERATIVE RADIOGRAPH

83 CASE NO: 15 TITLE: Endodontic management C shape canal. NAME: Mr. Krishna Pal Singh AGE/SEX: 28 yrs./ M OPD NO: 25A.41.95 CHIEF COMPLAINT: Pain in the lower right back tooth region since 3 weeks. CLINICAL FINDINGS: Mesio proximal caries with 37. RADIOGRAPHIC FINDINGS: Radiolucency involving enamel, dentin and approaching towards pulp with 37. DIAGNOSIS: Symptomatic irreversible pulpitis with 37. TREATMENT DONE: Non-surgical root canal treatment with 37.

84 PRE-OPERATIVE RADIOGRAPH WORKING LENGTH RADIOGRAPH

85 MASTER CONE RADIOGRAPH POST-OPERATIVE RADIOGRAPH

86 CASE NO: 16 TITLE: Endodontic management of curved canal in mandibular third molar. NAME: Mr. B.K. Jaiswal AGE/SEX: 60 yrs./ M OPD NO: 24I.30.209 CHIEF COMPLAINT: Pain in lower left back tooth region. CLINICAL FINDINGS: Occlusal caries w r t 38. DIAGNOSIS: Symptomatic irreversible pulpitis tooth w r t 38. TREATMENT DONE: Non-surgical RCT w r t 38.

87 PREOPERATIVE PHOTOGRAPH WORKING LENGTH RADIOGRAPH

88 POSTOPERATIVE RADIOGRAPH MASTER CONE RADIOGRAPH

89 CASE NO: 17 TITLE: Endodontic management of lower molar with 2 canals. NAME: Miss. Geeta AGE/SEX: 45 yrs./ F OPD NO: 23D.9.59 CHIEF COMPLAINT: Pain in lower right back tooth region. CLINICAL FINDINGS: Temporary restoration w r t 47. DIAGNOSIS: Previously root-canal initiated tooth w r t 47. TREATMENT DONE: Non-surgical Root canal treatment w r t 47.

90 PREOPERATIVE RADIOGRAPH WORKING LENGTH RADIOGRAPH

91 MASTER CONE RADIOGRAPH POST-OPERATIVE RADIOGRAPH

92 CASE NO: 18 TITLE: Endodontic management of C-shaped canals in mandibular molar. NAME: Mrs. Ranu kushwaha AGE/SEX: 38 yrs/ F OPD NO: 25C.21.170 CHIEF COMPLAINT: Pain in lower right back tooth region. CLINICAL FINDINGS: Temporary restoration w r t 47. RADIOGRAPHIC FINDINGS: Separated instrument in coronal third w r t 47. DIAGNOSIS: Symptomatic irreversible pulpitis w r t 47. TREATMENT DONE: Instrument retrieval w r t 47.

93 ACCESS OPENING PHOTOGRAPH PREOPERATIVE RADIOGRAPH

94 WORKING LENGTH DETERMINATION MASTER CONE

95 POSTOPERATIVE RADIOGRAPH

96 CASE NO: 19 TITLE: Laser excision of pulp polyp in maxillary first molar. NAME: Mrs. Shalu AGE/SEX: 38 yrs/ F OPD NO: 25C.21.170 CHIEF COMPLAINT: Pain in upper right back tooth region CLINICAL FINDINGS: Temporary restoration w r t 16 RADIOGRAPHIC FINDINGS: Separated instrument in coronal third w r t 16 DIAGNOSIS: Symptomatic irreversible pulpitis w r t 16 TREATMENT DONE: Instrument retrieval w r t 16.

97 PRE-ENDO BUILD UP PREOPERATIVE RADIOGRAPH

98 WORKING LENGTH RADIOGRAPH PULP EXTIRPATION

99 POSTOPERATIVE RADIOGRAPH MASTER CONE

100 CASE NO: 20 TITLE: Endodontic retreatment of mandibular second molar. NAME: Mrs. Vaishali Pandey AGE/SEX: 30 yrs/ F OPD NO: 25C.21.170 CHIEF COMPLAINT: Pain in lower right back tooth region. CLINICAL FINDINGS: Dislodged restoration w r t 47. RADIOGRAPHIC FINDINGS: Apical radioluscency w r t 47. DIAGNOSIS: Symptomatic irreversible pulpitis w r t 47. TREATMENT DONE: Retreatment w r t 47.

101 REMOVAL OF GUTTA PERCHA PREOPERATIVE RADIOGRAPH

102 MASTER CONE WORKING LENGTH DETERMINATION

103 POSTOPERATIVE RADIOGRAPH

104 CASE NO: 21 TITLE: Laser Photobiomodulation Therapy. NAME: Dr. Pratibha Bhagat AGE/SEX: 45 yrs/ F OPD NO: 26C.2.237 CHIEF COMPLAINT: Pain in lower right back tooth region. CLINICAL FINDINGS: Parasthesia on the right side of the face. DIAGNOSIS: Mandibular Nerve Parasthesia. TREATMENT DONE: Laser Photobiomodulation therapy.

105 BIOSTIMULATION USING LASER LASER UNIT

106 CASE NO: 22 TITLE: Management of grossly decayed tooth with surgical hemisection of mandibular second molar NAME: Mrs. Sarita AGE/SEX: 45 yrs/ F OPD NO: 26C.2.237 CHIEF COMPLAINT: Pain in lower right back tooth region. CLINICAL FINDINGS: Parasthesia on the right side of the face. DIAGNOSIS: Mandibular Nerve Parasthesia. TREATMENT DONE: Laser Photobiomodulation therapy.

107 WORKING LENGTH DETERMINATION PREOPERATIVE RADIOGRAPH

108 MASTER CONE POSTOBTURATION RADIOGRAPH

109 SUTURE PHOTOGRAPH EXTRACTED ROOT FRAGMENT

110 CASE NO: 23 TITLE: Endodontic management of decayed teeth. NAME: Mr. Sarita AGE/SEX: 32 yrs/ M OPD NO: 24I.14.101 CHIEF COMPLAINT: Pain in left lower back teeth region since1 month. CLINICAL FINDINGS: Mesioproximal caries with 38 RADIOGRAPHIC FINDINGS: Radiopacity involving enamel and dentin with 38. DIAGNOSIS: Symptomatic irreversible pulpitis w r t 38. TREATMENT DONE: Non-surgical root canal treatment w r t 38.

111 PRE-OPERATIVE RADIOGRAPH WORKING LENGTH RADIOGRAPH

112 POST-OPERATIVE RADIOGRAPH MASTER CONE RADIOGRAPH