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Calcified incisor - Courtesy ROOTS

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: Siju Jacob
To: ROOTS
Sent: Thursday, May 13, 2010 3:30 PM
Subject: [roots] Calcified Incisor

Hello Everyone,Here is a calcified Incisor I treated.
The canal was located by a combination of observing colour changes through 
the scope as well as periodically checking the direction of the munce bur 
with Radiographs.

Eventually, the canal was located at a position that was much more mesial 
and lingual than what I thought initially. (see slide 4 3rd picture)

comments welcome -  Siju

As usual a wonderful job. Alot of times I look at these tough cases as you present them and envision where I would trough . It is a great way to learn from your cases. Thank you so much for your wonderful documentation and willingness to share. More people could learn a thing or two about how to teach from your methodologies. Thanks again and congrats on a great result. - Glenn Very nice case Siju, and beautiful documentation! - Marga Great case clap Clap clap- Anantpal Nicely done Siju. Treating these kind of teeth always is difficult. Taking additional X-rays during the search for the canals, is one of the best things you can do. - Rafaël Great case Siju and neat documentation. Which sizes and lenghts do you recomend us to buy for this situations: finding calcified canals and searching MB2 and middle mesials? THANK YOU VERY MUCH SIJU. COULD YOU SHOW THE DRILL YOU USE FOR MB AND ISTMUS? - Javier Pascual Hi Javier, Thanks! I use 34 mm length ones. I normally use sizes 1, 1/2 and 1/4 for digging deep. I don't use these burs for MB2 or isthmus troughing anymore. I prefer using a long fine tapered bur from Horico. If you want, I will post some pictures. - siju Very nice case Siju, and beautiful documentation! - Marga Great documentation and great treatment. - Jörg Wonderful result - takes a lot of patience and skill to get there. Congratulations Siju - Peter What colour changes did you se?- Maria Hi Maria, The calcified portion of the canal will be dark when compared to the adjacent "whitish" dentin. - Siju siju, congrats !! being conservative of tooth structure on this cases is very important and difficult to achieve and you did the job neatly thanks 4 sharing your tips - sr

Protaper flaring

6 yr old Empress

Cvek pulpotomy

Middle mesial

Endo misdiagnosis

MTA retrofill

Resin core

BW importance

Bicuspid tooth

Necrotic #8 treatment

Finding MB2 / MB3

Deep in a canal

Broken file retrieval

Molar cases

Pushed over apex

MB2 and palatal canal

Long lower third

Veneer cases

CT Implant surgury

Weird Anatomy

Apical trifurcation

Canal and Ultrasonics

Cotton stuffed chamber

Pulp floor sandblasting

Silver point removal

Difficult acute curve

Marked swelling

5 canaled premolar

Sealer overextension

Complex anatomy

Secondary caries

Zygomatic arch

Confluent mesials

LL 1st molar (#19)

Shaping vs Cleaning

First bicuspid

In Vivo mesial view

Inaccesible canals

Premolar 45

Ortho and implant

Radioluscency

Lateral incisor

Obturation

Churning irrigant

Cold lateral

Tipped to lingual

Acute pulpitis images

Middle distal canal

Silver point

Crown preparation

Epiphany healing

Weird anatomy

Dual Xenon

Looking for MB2

Upper molar resorption

Acute apical abcess

Finding MB2

Gingival inflammation

Irreversible pulpitis

AG BU ortho band

TF Files

using TF files

Broken bur

Warm technique

Restorative prognosis

Tooth # 20 and #30

Apical third

3 canal premolar

Severe curvature

Interesting anatomy

Chamber floor

Zirconia crown

Dycal matrix

Cracked tooth

Tooth structure loss

Multiplanar curves