From: Sashi Nallapati
Sent: Monday, April 16, 2007 7:56 AM
Subject: [roots] calcified molar
This is the first time I had to 'drill' through the calcified
palatal canal 19mm from the occlusal reference to find
the patent canal. I had done it in anteriors but never in
a palatal root of a molar.
I was always looking for the best documentation of the
'radial dentin effect' and the genuine look of a calcified canal
in the radicular dentin for years and this is probably is the
'closest- to- perfect' documentation that I could do
epicting the 'look' of this phenomenon.
At no time was I stressed going down the canal as i was
following the 'spot'...Mb2 was a like an extension of the Mb1
and I wasn't too comfortable extending the palatal aspect of
the Mb1 way too much after a few mm down the root -
Dr. Sashi Nallapati
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 Photos courtesy of Sashi Nallapati
Great case and documentation sashi! Munce burs?
Question: I've read an article of yours where you used
ophthalmic dyes. when would you recommend using them?
Sashi: great documentation and execution.
only a scope user can trough down 19mm and say:
" at no time was i stressed going down the canal as
i was following the spot"...))))
This is an extensive calcification..just wondering how
old is the pt and the crown? - Ahmad Tehrani
Patient is 45 and got a pulpotomy with arsenic
(i believe) 15 years ago. there was cotton in the
chamber - Sashi
Nice case Sashi, very cool how you can see with the
scope with confidence (when you know what you are looking at)
what you are doing. The Mounce burs and ultrasonics
allow you to careful watch (when dry) the progress
as you cut.
great documentation and teaching cases.- Glenn
hi glenn, the key to this is the recognition of the
calcified radial anatomy through the scope and when it
is presented, be able to recognise the differences in
the normal and reactionary dentin. its quite possible
that sometimes it is difficult to recognise this subtle
change. and of course at that moment, we shall recognise
our limitations and stop while still ahead of the game.
its actually Munce burs..- Sashi
Only a very talented scope user with a lot of guts!
I know I never would have gone that far.- Gary
Hi Gary, this has nothing much to do with guts.
I had a sign I could follow with out deviation and
I went for it. the moment It disappeared, I would have
stopped. Its all about 'control' in these cases.
Viewing through the scope, line the munce/ultrasonics
while not losing the vision, know the anatomical
differences in calcifications, color differences,
followup periodically the progress with radiographs
and finally and most importantly knowing when to
STOP ;-)) - Sashi
Armo Navasartian 1:24pm Aug 10,2013 in Endodontics
Facbook group very difficult case,with great skills