Three roots upper premolar - Courtesy ROOTS
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From: Alejandro Podolsky
Sent: Tuesday, October 06, 2009 10:48 AM
Subject: [roots] 3 ROOTS UPPER PREMOLAR
First case of 3 roots upper premolar, so im glad to present to all
this case. ALL COMMENTS AND SUGGESTIONS ARE WELCOME
My Best Regards.
Alejandro Podolsky Geluda.
Alejandro, great work at cleaning the three canals. Questions that
I have and this is just base on what I see on the X-ray, I did not
see the case clinically so please tell me, it is my impression
that the defecte the tooth has is too close to the furcation area
of the buccal roots, no concern that even though the root canal therapy
is going to be succesful there could be a failure due to the integrity
of the tooth structure? Fracture of the DB root? Your work is fantastic,
but I am thinking down the line when the tooth is restore. - Jose
Josť, Thanks for the observation.
The furcation is very thin but not fracturated which is why I explain
to the patient the need to restore the tooth as soon as possible since
the chances of fracture are high, i know and the patient know, the
posibility of failure of treatment if not restore properly, but the
patient want to keep the tooth the most time as possible - Alex
Nice case, But why didnít you also place the post.
Itís not so much work and itís better that itís ready in one time.
Better for the patient and easier for next appointment.
You have been working for a long time at the root at that time,
so than you know everything of that root, thatís the best time to place
the post. And second for me important issue, I see it on roots often.
I always make a proper build up, or filling, after I did an endodontic
treatment so that I know thatís done good, and that there will be no
contamination of leakage - rob
Rob, I agree with you in all the aspects. But i have the answers for you.
1.- why I don't place the post? Its because I treat this case at the
office of the Dr who is going to restore the tooth, so he decides to put
a metalic post, so he takes the impression for the metalic post,
I really don't know why he decided put a metalic post instead a
I hope to present the radiograph the Next week of this case with the
proper restoration, and the build up of the tooth is important and
I make it in my office but this Dr don't like the build up if
he decides to place a metalic post, I really don't understand the
point of view of the Dr but sometimes I need do the work like the
I hope to answers the questions Dr Rob and sorry for my english,
its so bad - Alex