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Endodontics |
Better endodontics - Courtesy ROOTS
From: Dr. Danny O'Keefe
To: ROOTS
Date: 16th November 2005
Very interesting and instructive case and documentation, thanks for sharing!! - Carlos Heilborn
Danny: This case and your documentation is more valuable as a teaching exercise (for colleagues trying to get better in Endodontics) than beautiful cases showing great anatomy, negotiated curves, 5 canals or lateral canals. etc etc.
I thank you for sharing it. I will admit that something similar happened to me about 32 years ago. My assistant placed the rubber dam in a pontic and I went through it....I even placed an instrument and took an x-ray.
Nobody learns from mistakes of others, but I would recommend everybody to look carefully at Danny's case and engrave it in your minds.
- Ben
Ben , thanks, Even placed an instrument ? I didn’t think of that. I was thinking of taking an x-ray to show my progress with the initial opening just as I did just before I perfed the real tooth.
How do you spell perffed ? Neither way is right according to my computer dictionary - Dr. Danny O'Keefe
This is why I have a Sharpie pen on my set up tray. A big black line on the offending tooth helps stop this. I always place the dam myself as well.
- Bill
Thanks Bill, I guess the sharpie shows through the rubber dam. I will definitely forward your e-mail and bring this suggestion to action in our office.
- Dr. Danny O'Keefe
Great idea with the sharpie pen bill. But it is the reason that nobody but me places the dam. I then have only myself to blame for a screwup. - Gary
Hey Danny, Damned good thing that was a pontic instead of a vital tooth that you opened. If your assistant places the dam on the wrong tooth – YOU are liable (and she is fired.) Don’t ask me how I know that. L
You can easily avoid that problem by marking the tooth with a bur mark, pencil, etc. before you access but DO mark it – it can save you a LOT of trouble- believe me.
- Rob
Thanks Rob, this is a very tragic mistake to make, almost as bad as pulling the wrong tooth. - Dr. Danny O'Keefe
And you never make mistakes. How long you been doing this Rob? - Guy
