Crack or mesial canal - Courtesy ROOTS
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From: Thomas Shimko
Sent: Thursday, November 12, 2009 3:45 PM
Subject: [roots] Crack or missed canal ?
A RCT on tooth #33 I did about 6 months ago. Now became sensitive
to percussion tapping in a distal point. Couldn’t see nothing on
x-ray. As his #37 that I treated at the same time is also sensitive
to percussion I did a CbCT of both teeth. Can you please tell me
what is it that I see in tooth #33 a L canal that I missed or a
crack ? I don't have a scope at that practice - Thomas
Number 1...I would be looking for a second canal.
Number 2 ....Cracks don't show up on x rays....unless you get the
Number 3 ... Get a microscope....you've got CbCT... Molar Del Sud
Thanks for the answer,
But you must be joking, I don't have a cbCT and I will never have L
(the economics in Israel make root canals non profitable – that's why
we are #1 in the world in the number of implants). I sent him to a
centre to have the scan done. I got the results on a cd and that's
how I checked them. Cracks do show on cbCT, this is not a 2D x-ray.
I have shown just the right angle to see the big void that is directly
behind the main canal. I am thinking:
1. Somehow this is a portion of main canal I didn't clean&shape
2. A second L canal
Wanted to hear someone that has some experience with CT's as I don'’t
have almost any.
I have a scope in the Haifa office, no way this guy will ever buy one
L But I can continue dreaming - Thomas
I don't understand why people are buying these things...I still like
microscope and light... I could be corrected very shortly - Molar Del Sud
To do more implants of course... And on the sideways it's a great endo
diagnostic tool - Thomas