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From: Jerry Avillion
Sent: Wednesday, May 09, 2001 11:35 PM
Here's an interesting case where I used one of those superglue extractors to remove a
separated file. I used an ultrasonic tip with lots of water and low power
(for about 40 minutes) to loosen the file. (thanks, Gary Carr), then used the hollow
extractor and super glue to unscrew the file.
I usually don't have very good luck with the extractor, but this is the first time
I used it with a scope and a Stropko irrigator (thanks, John Stropko).
By the way, the original end was done a few months ago and the patient wasn't told that
there was a separated file in the canal. She was scheduled for apical surgery, but on
the counsel of a friend, she came here for a 2nd opinion. I did this yesterday
afternoon, when she came in, she was in tears. When we called this morning to check
on her, the tooth was feeling "great". They don't all feel that much better that
quickly, but it's possible sometimes.
Photos by Jerry Avillion
Jerry Avillion
From: John J. Stropko, D.D.S.
Sent: Thursday, May 10, 2001 12:47 AM
Jerry,
Next time, try using a small dab of CorePaste (DenMat) into end of tube, instead of the
super-glue. Just be sure that end of tube is wiped clean of the paste after putting
into the tube. Don't need much, just a dab'll do it! Advantages: sets up fast-about
4min and no sticky mess if file didn't "attach".
John Stropko
Jerry Avillion replies:
Ok, thanks I'll have to try that.
I only let the superglue set for 2 minutes in this case, but it was one of those rare
ones where the size of the file and lumen of the tube was a pretty close match.
From: Tim McManus
Sent: Thursday, May 10, 2001 9:19 AM
Tim McManus wrote:
Jerry,
I posted a similar case recently and Joe D. let me know about some tips + super glue
that are used to treat such a case. However, I want to be as prepared as possible.
Where do I get such an instrument and what is it called?
Jerry Avillion replies:
I dont even know who sells them nowadays. The things I used were purchased back
in the early 90's before I got an ultrasonic unit. We still had some in the back
of the cabinet.
Jerry,
I have had many occasions the superglue didn't set, leaving a mess. The CorePaste
sets EVERY TIME---HARD! - John Stropko
Jerry Avillion replies:
Ok, thanks for the tip. I'm just now starting to see broken file cases coming in
for re-treatment (it takes a while for things to make it to Arkansas).
Jerry Avillion
From: Richard Schwartz
Sent: Thursday, May 10, 2001 8:16 AM
What sort of "tube" do you guys use? I have a similar case scheduled next week.
In my experience, when they break off that high on the instrument, they are usually
screwed in pretty tight.
Rick Schwartz
From: Juan Basilio Monné [mailto:24418jbm@comb.es]
Sent: Wednesday, May 09, 2001 3:31 PM
Where can we buy this extractor tube systhem for removing separated files ?
Analytic Endodontics. Cancellier Kit.
Robert Gannon
Analytic Endodontics
Technical Care
Orange CA
gannonb@sybrondental.com
Juan,
Brassler tubes work good and so do various guage needles from Ultradent.
Use anything that fits over separated instrument.
John Stropko
From: Michael I Pascal, DDS
Sent: Thursday, May 10, 2001 6:12 AM
A simple way of making your own tubes it obtain different size spinal needles
(14, 15, 16 gauge etc) and cut them to length. You can obtain a more intimate fit
to the instrument because of thinness of the walls of the needles and many different
sizes available. I believe there is a JOE article describing this technique. Michael P
Manny Friedman writes
Another option is to buy different needle tips from Ultradent from their endo-eze kit
comes in diff. gauges from 18-22. You can usually find one that fits the broken
instrument quite closely.
I'm bringing everyone samples of our dead soft needles when I come - they work great.
Don't knink when bent.
Kim
R. Kim Bleiweiss
Endodontic Market Manager
Ultradent Products, Inc.
801-553-4132
From: Dr. Shimko Thomas
Sent: Thursday, May 10, 2001 1:57 AM
Wonderfull case, what kind of file was it ? Looks like a NiTi, do gp's use NiTi always
in the Usa allready ?
Thomas
Jerry Avillion replies:
Yes, it was a NiTi file.
More and more everyday. Several US dental schools are now teaching rotary files
to the dental students.
From: benschein@prodigy.net
Sent: Thursday, May 10, 2001 2:09 AM
Jerry:
Great case. You're a tough act to follow. Sometimes I do a case of which I am proud off
and then I go to the computer to check ROOTS and see your works of art, and I feel
like ............you know what.
Can you sort of tell us what continuing ed courses you've taken after your
MCV endo education.
Ruddle, Buchanan, BU, Gary's, Cloudland.....etc etc
Or you're just a gifted son of a gun.
Jerry Avillion replies
I've heard all these guys speak at the AAE meetings over the years. And I've read stuff
and seen CE tapes from some of these guys. I've never done a formal CE course, maybe
I should have and it wouldnt have taken me 15 years to get to this point.
From: Dr. Liviu Steier
Sent: Thursday, May 10, 2001 12:08 AM
What a result!!!
Congratulation! Happy patient.
Dr.Liviu Steier
Spezialist für Prothetik der DGZPW
Kehriger Str. 12
56727 Mayen
Tel.: 02651-900490
FAx: 02651-900491
e-mail: l.steier@perio-implantologie.de