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Endo tips    Better Endo    Endo abstracts    Endo discussions

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Missed MB2 : K files: NaOCL: EDTA

 From: RafaŽl Michiels
To: ROOTS
Sent: Tuesday, February 24, 2009 7:51 PM
Subject: [roots] A classic!

this is the good old missed MB2, ...and maybe some other stuff :). 
In other words, the classic stuff. Patient was referred for endo on 25. 
My advice: extraction of 25 and retreatment on 26. I did the 26 in 
2 visits, with Ca(OH)2 as an interappointment dressing. There was some 
resorption on the mesiobuccal root. Everything was shaped with protapers, 
and apically I enlarged with K-files. Lots of NaOCl, EDTA final rinse 
and PUI throughout the treatment.

Cold lateral condensation.
Too bad about the somewhat less dense condensation apically in the 
palatal canal :

However, I love to compare the preop and postop, that gives me the 
satisfaction in doing this job :) - RafaŽl

PS. sorry for the quality of the third RX, took a wrong plate.

Definitely satisfying to find MB2!! A PacMac would be really helpful when doing cold lateral to 'warm' things up and create more dense root fillings - Fred Yeah, I guess I should have used them here, especially in the palatal canal. Although I do not use pacmac condensors, but the guttacondensors from maillefer. Never tried the pacmac condensors - RafaŽl

DFDBA
Typical molar
Type II palatal
Canals
Deep split
Gold onlays
Cerec Onlay
Multiple access
MB root
Cavernous sinus
Apical in DB
Apical lesion
Resorption lacuna
Upper bicuspid
Pulpitis case
Multiple tooth isolation
Interdental molar bone
Dens invaginatus
Periapical healing
Microscope Zeiss
Calcific metamorphosis
Instrumentation protocol
Perforation case
Double curvature
Buccal sinus tract
Buccal swelling
Lingual version
Percussion
Tooth # 4
Dumbing down of dentistry
Evidence based dentistry
Upper incisor
MB and ML canal
apicoectomy
Furcal floor
Trauma case
Broken file cases
Large lesion
Flex post
MTA obturation