Virtual dental expo

Check Page Ranking

Dental tourism
Dental books
Bad breath
Kids caries
Smoking effects
Patient info
Dental Videos
Wisdom tooth
Drugs of choice
Virtual dental expo

Endo tips    Better Endo    Endo abstracts    Endo discussions

Carious exposure and lots of caries - Courtesy ROOTS

The opinions and photographs within this web page are not ours. Authors have been
credited for the individual posts where they are -
From: "Bill Seddon"
To: "ROOTS" <
Sent: Tuesday, July 04, 2006 5:38 PM
Subject: [roots] carious exposure

Nice to get a carious exposure once in a while.  Difficult access and
lots of caries,  but a decent result. Respect for ID canal in apical
preps,   I held handfiles in tweezers here due to limited opening.  Pt
must have been 300 lbs,  and had the cheeks and tongue to go with it,
hence the poor rad which he managed to move in the holder.

Terry would have not have started this,  opening of 30mm max :-) -  Bill

Great result Bill!! What's instrumentation sequence and the master 
apical file for this case? Just for learning ;-) -  Maurício Basso

Mauricio , I used hand file 10 -30 in tweezers to just open things a 
little.  Then gates 2-4.  then hand files again,  then gates again.

then I used EAL and took hand files to 30 to within 1mm of EAL 0.

Then I finally put some rotaries in there,  Pro TAPER,  S1 - f1 at 
eal 0.5, then F2 at eal 1.0 and F3 back from this about another 1/2 mm.  
So master apical file will have been a 25,  but lots of curved files 
at this level,  hence the larger " look "  on the film.  I didn't want 
to be long due to the proximity of the canal,  but was patent in all 
canals - Bill

Beautiful work.  Especially amazing considering the working conditions.
- Huq

Awesome worK, this patient was lucky staying in your hands.

I just discover this tool (see pics) in Amsterdam University (ACTA). 
I think it could be useful in this case instead of tweezers, and you 
can try have indirect vision - Nuria from Barcelona

Thanks Nuria , Do you know the name of it? - Laura Hi Laura , Sorry , but I don´t know the name. I think that is an older instrument, and you can even cut the file handle for improve índirect vision in limited mouth opening cases... just useful for radicular access in my opinion - Nuria

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


Lateral incisor


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