2 hyperaemic distals and a dying mesial canal

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2 hyperaemic distals and a dying mesial canal - Courtesy ROOTS

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From: Dr. Cecil Bergman
To: ROOTS
Sent: Wednesday, January 20, 2010 10:12 PM
Subject: [roots] Emailing: 2, 3, 4, 5, 1

This patient was sent to me after biting down too hard on a chicken bone.
His dentist found it difficult to anaesthetise so temporised.
I found 2 hyperaemic distals and a dying mesial canals(2).
The problem is the crack which traverses from distal to mesial,does go down both mesial and distal canals but
does not cross the pulpal floor.
I think it is a goner but the patient wants to give it a go
All the techniques seen here were made possible by this website and its wonderful practitioners,I can honestly
say that I have learned more here than at university.

1 shows the crack unstained,
2 crack stained with methylene blue,picture
3 with munce canal projectors  so I could build a core to give some support to the cracks ,
4 After removal; of canal projectors  and finally picture
5 with access closed with purple flow.

I would ideally have liked to place a temporary crown immediately but ran out of time - Solly

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