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Endo tips    Better Endo    Endo abstracts    Endo discussions

Other cases of Jerry Avillion (rxroots):
System A Obturation  Dx Help   Curved Retreat   Sealing Cap -1  Protaper Case   Extra Root
Broken File Case

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: 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 ips + 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 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. 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 wouldn't 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
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