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  maxillary molar #14

The opinions within this web page are not ours. Authors have been credited for the individual posts where they are. - www.rxroots.com photographs courtesy: Arturo
From: Arturo
To: ROOTS
Sent: Thursday, January 31, 2008 6:00 AM
Subject: [roots] endo #14

Here's a tooth referred in for tx under ga.  Semed like an ordinary
maxillary molar #14.  Actually there's nothing ordinary about maxillary
molars.

I was happy to have identified, accessed and instrumented 4 canals.  I
asked my assistnt to take some angled rads to get a better view of the
fourth canal.  Then i see what i think is a 5th canal but I only found 4
orifices.  Looks like i got lucky and hit a big accessory on the db root
or that canal had 2 apexes.

Hand instruments (C+ files and hedstroms) used in a reciprocating
handpiece (08 C+ to wl by hand then up to a 20 using the handpiece) then
2,3 gg's and F2 protaper rotary to wl.  edta and chlor extra irrgation-
last rinse edta.  Obturated w an obtura 2 using resilon/epiphany squirt.
No cones- all squirt.

I'm pretty sure I would not have obturated the 2nd db apex without the
hydraulics of a squirt obturation.  Also, I'm doing a lot more w the
reciprocating handpiece now than the rotary. - Arturo




Arturo, Awesome case.  - Fred