12 year recall:apical preparation - Courtesy ROOTS
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From: Terry Pannkuk
To: ROOTS
Sent: Thursday, February 04, 2010 9:51 AM
Subject: [roots] 12 year recall
I just noticed this 12 year old recall case in my report queue. She saw my partner, maybe because she was
embarrassed to see me after having someone else do the first molar some time after 1998 when I had treated
the second molar. Too bad I would have scanned a CT for free to show the obvious comparison of what happens
when someone does a "small as possible apical prep with a ship-in-a-bottle access" versus a "small as
practical prep with a SEE access" like I do. The crap never seems to end. :):):) - Terry
Terry, now could you tell me why do SEE access it you still can't see MB2? :-)))))))))) - Dmitri
Good point. It doesn't seem that II got out the mesial marginal ridge as aggressively as I would today on #2.
I wasn't using the composite finishing burs in 1998, just ultrasonics. I migrated from ultrasonics to composite
finishing burs because I didn't like the inefficiency of US tips and their inability to meticulously extend
dentin walls. The large football diamond is frequently too large for some of these narrower width teeth with
difficult access. The ML groove doesn't look troughed as ideally as I would have liked.
Gee, Thanks for bringing that up Dimitri :):):) - Terry