From: Alejandro Podolsky
To: ROOTS
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

José, 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 didn’t you also place the post.
It’s not so much work and it’s better that it’s 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, that’s 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 that’s 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 pre-fabricated post.

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 Dr wants.

I hope to answers the questions Dr Rob and sorry for my english, its so bad - Alex