From: Jörg Schröder
To: ROOTS
Sent: Friday, June 02, 2006 8:04 PM
Subject: [roots] One or Two?

Self referral by patient. Last dentist recommended extraction, because canals could not be located.
(no loupes, no scope).

Reduced the build-up and about 3 mm subgingival I found tooth structure. First canal was easy to find
but hard to negotiate (sacrified some ISI 006 Files). As this one seemed not to be centered I looked
for the buccal orifice. Troughed with Endosonore-Files and aftersome seconds there was a wet spot
(like on a frozen lake, when you hit a hole into the ice and the snow starts getting wet and dark)
I ecspected to glide all the way down the canal but after some mm I hit a wall. Opened the orifice
more and tried to find the canal. after 30 minutes I stopped and continued with shaping of the
palatinal. Should have done this earlier to save a lot of time. I found a isthmus that disappeared
after shaping procedure. "buccal " and palatinal merged into one canal! I have been confused by the
first wire-film ( not off angeld!!), the non centered canal I found first , and the fact
I found/created a second canal. There is no easy endo! - Jörg Schröder








Fine work. I am sure an implant would be recomended as a viable option here. What is the long term
outlook as a restorative dentist in you opinion. I am sure your endo will last as long as the tooth.
Again nice treatment -  Alan

Alan, I agree with you, that the implant is a option. It will need crown lengthening to get a ferrule
on the palatinal side. But the patient was informed about the alternatives. I think, she does not want
to loose a tooth just because of the lack of magnification - Jörg