Home page
Bone regeneration
Root fracture
Filing buccals
Apical periodontitis
Off angle xray
Bicuspid
MB3
Lower Bi
5 canals
Sinus tract #13
Perio endo lesion
Inflammation
Calculus formation
Antibiotics in periodontitis
POE for MB2
Balloon sinus elevation
Confluent MB system
Lasers in endo
Endo cases
Antimicrobials
Molar case # 17
Dark color dentin
Gum pain
Ortho reabsorption
Strange anatomy
Tooth abscess
Dens case Tx options
Deep bifurcation
Buildups in RCT
Smoking /dental health
Immediate implant
Fractured US tip
Silver cone removal
Dental trauma
Post and core
Apico # 19
Irreversible pulpitis
MB, DB and P
Extra anatomy

Endo tips    Better Endo    New additions    Endo abstracts    Back to home page    Endo discussions
Web discussions    MB 1,2,3    Bleeding    New Case studies    MB2

  Necrotic lateral : apical hook

The opinions and photographs within this web page are not ours. Authors have been credited for the individual posts where they are. - www.rxroots.com Photos courtesy of Ahmad
From: Ahmad Tehrani
To: ROOTS
Sent: Monday, April 09, 2007 9:50 PM
Subject: [roots] lateral

22 y.o. Female. She just wanted this tooth filled. I told her it wold be no problem as long as
I extended the filling to the apex..-:) So to make my point, we started with pulp responsive
testing first against her adjacent teeth.

EPT, ice and hot test....all negative.

Necrotic lateral....Totally asymptomatic....No sinus tract. I am always fearful of causing a
flare up with these "dormant" CAP cases. So I always explain in detail (till I am blue in the face )
during consultation, not to make "excuses" afterwards.. Started cleaning out the caries, accessed
the pulp and filed to a size 25 with pre-curved tip. Projected the canal and built up the tooth
temporarily with composite. CH and closed with cavit.

My question is how do you maintain the natural canal curvature with larger files? The wire film is
a size 25 which looks like itis straighteneing the canal already. bending bigger files is a laborious
task for me, so I probably follow the mantra of keep it small as practical I am afraid to strip perf
the thin areas around the bend and wrecking it. All laterals have an apical hook that is easily
mismanaged with blind rotary files.

Been there , done that.....)) - Ahmad

lateral
lateral
lateral
lateral
Ahmad, I don't think you can maintain that natural curvature if you are going to clean the apex. This one has more than one curve so bending a file is not going to prevent straightening. So you straighten it out a little. Do you think that hurts the case? I'm betting you will get a great result. You are right about that little apical hook. We are going to screw those up sometimes. Why not one step this one? The ones I worry about are the ones with the well formed lesions. They are the ones that blow on me and lower bi's seem to live to screw with me. Guy Ah. Another anterior elastic anterior rubber dam clamp fan! I hate those big honkin things that are always in the way. This is so much easier - Gary
Searching for MB2
Implants #18, #19
Nice retrofil
Molars with lesions
Tooth #4
Apex locators
Large Apex
Access pictures
Lower incisor retreatment
Horror case
porcelain onlay
Conservative access
Peri radicular healing
Beautiful cases
Resilon cases
Unusual Apex
Noemi cases
2 upper molars
2 Anterior teeth
Tooth #35
Anecrotic molar
Direct capping
Molar cracks
Obstructed buccals
File broken in tooth
Separated instrument
Delta
Dental Products
Dental videos
2 year trauma
Squirt on mesials
dens update
Palatal root exits
Color map 3
Middle mesial
Continuous pain
Anterior MTA
Previous trauma
Ideal case
Dens Evaginitis