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Endo tips    Better Endo    Endo abstracts    Endo discussions

The opinions within this web page are not ours. Authors have been credited for the individual posts and photographs where they are. -


From: RafaŽl Michiels To: ROOTS Sent: Saturday, September 03, 2011 1:55 AM Subject: [roots] Blasphemy In light of the recent discussions I would like to show you a case I finished today. There are multiple reasons as to why I could call this blasphemy, but I am pretty confident it will work out fine. It was a 19y old girl, with a long standing sinus tract. I did not trace it due to 2 reasons: 1. The sinus tract was closed at the moment, so I saw no need to open it up to stick a gutta percha cone in it. 2. It was pretty obvious that it was the molar, because it had a lot of secondary decay underneaththe broken amalgam filling. Now, for the blasphemy part: 1. Single visit in a case with a long standing sinus tract. It was perfectly dry after the cleaning and shaping, so I see no difference in a case with 'normal' apical periodontitis without a sinus tract. The sinus tract is just a consequence of the original problem, not a pathology on itself. 2. Big apical sizes (Size 50). Scandinavians love this, the rest of the world does not. 3. Limited taper as a consequence of the big apical size, idem ditto as above. 4. Obturation: Cold lateral condensation. TP will shoot bolts of lightning at me now. But I preferred this, because I felt I had better apical tactile control with it, in this case. 5. Sealer already on the cones when taking the GP cone controle: Reason: The tooth is small, just as the mouth opening and the girl in general, I could hardly get my fingers in her mouth. I was already happy to getsome gutta in the tooth. 6. Probably some other reasons, but I'll let that up to the Rooters who want to comment on this. In short: Is it beautiful --> No Did I do the RCT according to the most common techniques/concepts that are being used by endodontists on ROOTS --> No Was I able to clean, shape and obturate adequately (e.g. was I able to achieve the technical requirements for a good RCT) --> Yes Will this work --> Probably, but follow-up will determine the outcome.- RafaŽl Clap Clap Clap, RafaŽl. Very nice thought and case to make better my Friday night beer - Gustavo Rafael, Good case.....very good....maybe 10 years a go would you do this...without all the equipment and the technology that we have today? Here in roots, I learn a lot....I don't do endodontics, but reeding the posts here, I can see multiples points of view..... Regards and Gustavo, you are a very bad friend.."you don't invite nobody leave near Lagoa and Copacabana and don't invite the friends to PAY the Booze.... Dr.Glen George Williams do Carmo Raf, very nice handling, especially in those circumstances which seem difficult. maybe one food of thought : when we do a treatment, should we do it for Roots and "to be beautiful" in front of the colleagues ? Or should we think at what best for our patient is, with the available knowledge at the time of the treatment ? if the rest of the world doesn't like the "look" of this endo, and you are interested what the people are saying, just to let you know that there is at least one person that likes the shapes: ME ;-) - Roberto Hello Glen, I am not sure if I understand you correctly. But this case could have been done 10, 20, 30 years ago, the same way that I performed it today. The only piece of technology I used in this one, was my apex locator. The case was shaped with handinstruments - Rafael
K 3 lightspeed

Crown replacement

Root reinforcement

Vertical root fracture

Periodontal pocket

Cox crapification

Cold sensitivity

Buccal sinus

Nikon 995

Distal canals

Second mesial canal

Narrow escape


Severe curvatures

Unusual resorption

Huge pulpstone

Molar access

Perforation repair

Maxillary molars

Protaper shaping

Pulsing pain

Apical periodontitis

Mesial middle

Isthmus protocol

Fragment beyond apex

Apical trifurcation

Jammed K file

Mesial canals

Irreversible pulpitis

Bicuspid abscess

Sideways molar

Red Dye allergy

Small mirrors

Calcified molar

Extraction and implants

Calcificated central

Internal resorption

Bone lucency

Porcelain inlay

Bone allograft