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Endo discussions
 How useful a GP-Point can be
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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: Jörg Schröder |
From: Jörg Schröder
To: ROOTS
Sent: Wednesday, February 27, 2008 5:21 AM
Subject: [roots] How useful a GP-Point can be!
Pt. came in after emergency treatment alio loco on #37. C-shaped canals, only the distal has been found during
the emergency treatment. Tooth had been "closed" with a cotton pellet and Toxavit as a "medication". After C & S
and lots of disinfection, I placed CaOH2. 6 weeks later Pt. called: draining sinus on "our" tooth!. I was
wondering what could have happened. During the clinical examination #37 showed no tenderness to percussion and
the GP-point placed into the sinus track indicated that #36 caused the problem. After gaining access to the pulp
chamber there has been no vital tissue in the distal canal. The mesial canals showed vital tissue! After C&S
I placed the masterpoints. The distal masterpoint seemed to be long, altough EFL indicated WL minus 0,5 mm.
After cutting the tip it fits quite well. You can see a small sealer track along the sinus on the x-ray.
The kind of puff I got on the MB is quite interesting to me. I never had been that long with the patency file.
The case is a nice example of the use of a GP-point in a sinus and how my own exspections are able to confuse
myself during diagnosis, as I first thought aout possible treatment failures on # 37. - Jörg Schröder
very nice case and excellent documentation - thanks for sharing - Veiko Vengerfeldt
beautifully instrumented, nice images, lots of things to learn from your posting. - Cristina Ghita
Jörg,
I have had the same experience---it is unusual and leads one to think you have grossly over instrumented
when in fact you did not. - Beautiful work as always, - Kendel
Jorg, I always enjoy your cases and they are beautifully done, and tremendously documented. Thank you for
taking the time to share. Like Marga, one always learns something with your cases - glenn
Hi Jorg..............I can't think of any other explanation. As a matter of fact I saw one of the cases
posted long back in which there was a minute blob of sealant far away from the apex , along the root say
about mid root and no signs of a lateral canal - Sachin
From: Jörg Schröder
To: ROOTS
Sent: Thursday, March 20, 2008 3:15 AM
Subject: [roots] How useful a GP-point can be , part2
I have posted the first part 3 weeks ago. #36 with partial necrosis of the pulp and draining sinus and AP.
One -visit. 3 weeks later PT. came in for #37 (C-shaped). Pt. reported that the sinus disapeared already
2 days after treatment. #37 had a c-shaped anatomy with a mesial and a distal POE. The referral tried
to do the RCT by himself but gave up because did not find any canals. (you can see where he tried to locate
the mesial canal in the final x-ray) It has been very difficult to get around the apikal curvature because
the referral had left behind a ledge. :((
Prebended handfiles and NiTi's to get around. I think I could not preserve the original curvarture in the
distal but at least I could get some GP into it. - Jörg Schröder
Fantastic job Jorg ...............the prebent hand Pro Tapers is something I have never tried thanks
for posting the images of the prebent protapers. - Sachin
Thank you Sachin. You just need some force , a bending tool (I got the one from Sybron) and the courage
to bend the instruments about 270 degrees ;)) - Jörg
Jörg, Your work is beautiful and inspiring!! Congratulations!! and thanks for sharing! - Carlos Heilborn
Thank you Carlos for your kind comments. - Jörg
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