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ML joined with MB in apical third - Courtesy ROOTS

The opinions and photographs within this web page are not ours. Authors have been
credited for the individual posts where they are - www.rxroots.com
From: Ilya Mer
To: ROOTS
Sent: Sunday, January 17, 2010 3:20 AM
Subject: [roots] hack to pieces

Just want to post an interesting and taught case. This patient 
came just before New Year vacation. The tooth was very
painful in spite of NSAIF and antibiotic during several days 
(the patient himself was the dental surgeon)

First of all I found ML missed which has joined with MB in the 
apical third. Post factum I have realized that I could
hack the silver point in MB. And that exactly what has 
happened. I pulled the silver point out looked at it and it
fell to pieces before I could say Jack Robinson. Devil’s own 
luck!  Today I finished it and looking forward to see
recall in 6 months. Best regards from Moscow -  Ilya

Well done, Ilya - Jörg Ilya, good case, good new shape! - Leandro Leonardo, Jorg! Thank you for your replies. Silver points endotreatment is not so common to our region. So my mistake wasn’t carelessness but inexperience. I’m afraid to suggest what I would do if the small silver part remains in the apex - Ilya

Protaper flaring
6 yr old Empress
Cvek pulpotomy
Middle mesial
Endo misdiagnosis
MTA retrofill
Resin core
BW importance
Bicuspid tooth

Necrotic #8 treatment
Finding MB2 / MB3
Deep in a canal
Broken file retrieval
Molar cases
Pushed over apex
MB2 and palatal canal
Long lower third
Veneer cases
CT Implant surgury

Weird Anatomy
Apical trifurcation
Canal and Ultrasonics
Cotton stuffed chamber
Pulp floor sandblasting
Silver point removal
Difficult acute curve
Marked swelling
5 canaled premolar

Sealer overextension
Complex anatomy
Secondary caries
Zygomatic arch
Confluent mesials
LL 1st molar (#19)
Shaping vs Cleaning
First bicuspid
In Vivo mesial view
Inaccesible canals

Premolar 45
Ortho and implant
Radioluscency
Lateral incisor
Obturation
Churning irrigant
Cold lateral
Tipped to lingual
Acute pulpitis images

Middle distal canal
Silver point
Crown preparation
Epiphany healing
Weird anatomy
Dual Xenon
Looking for MB2
Upper molar resorption
Acute apical abcess
Finding MB2

Gingival inflammation
Irreversible pulpitis
AG BU ortho band
TF Files
using TF files
Broken bur
Warm technique
Restorative prognosis
Tooth # 20 and #30

Apical third
3 canal premolar
Severe curvature
Interesting anatomy
Chamber floor
Zirconia crown
Dycal matrix
Cracked tooth
Tooth structure loss
Multiplanar curves