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Independant MM canal

From: "Mark Dreyer" Date: Nov 17, 2011 2:46 PM Subject: [roots] Independant MM canal To: "roots" It's been a while since I found a mid mesial that didn't merge. Voids.....argh. independant mm canal

independant mm canal You must have hated it when you saw the post-op, seeing voids when you finally have a case like this again. ;-) What surprises me is that the caries reached so deep. Some questions and thoughts: What were the clinical complaints? Because if there were no complaints wouldn't you have considered a capping? Or even leaving some of the affected dentin in place? I don't know a lot about this, but a dentist on the flemish forum was talking about the best material for capping is affected dentin (he heard that in a lecture from ???), as long as you keep a nice clean line of dentin around the edges, so you can deliver a good seal. This is according to the minimal invasive dentistry philosophy. I am not sure what to think about that option, but it has a certain logic to it. The human body is rather resilient and in the worst case, you end up doing the RCT anyways. If there were symptoms, then this ofcourse was a no-brainer - Rafael Rafael, I set out thinking the referring doc was a bit aggressive in recommending rct referral. However the patient had reported symptoms and that fact combined with the various exposure pushed me in the direction of doing the root canal. Thanks for your comments. - Mark Dreyer

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