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Apicoectomy of the mesial root of tooth # 4.6. Root tip was removed. Please note that granulation tissue was not removed initially. Hemostatic agent was placed on the granulation tissue in order to control bleeding. Isthmus between MB and ML canals was first prepared with a sharp explorer. Then, an ultrasonic tip at low power was used to join these two canals. The cavity preparation was sealed with cones made of desiccated IRM. I like to use a material that sets fast. Once the IRM set the granulation tissue was removed. Areas inspected for proper adaptation of the IRM. Prognosis is good. Dr. Yosef Nahmias If you'd like to see the PRE-OP and Post-OP Xrays Follow us on Facebook at Alliance Dental Specialists