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Endo tips    Better Endo    Endo abstracts    Endo discussions

Little mouth opening - Courtesy ROOTS

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
From: "Stefan Klinge"
To: "ROOTS"
Sent: Monday, January 18, 2010 2:00 AM
Subject: [roots] Two cases from Friday

Two Cases from Friday, i'd like to present.

The first one has been difficult, because of little mouth opening. It
was hard to see the canal orifices, and tricky to get my files
working.

I started with Hedstrom Files 0,10 up to 0,25.
Then changed to Protaper until F2 and pal. until F3.

The second one was not satisfactory in my opinion.
Referrer searched for the distal canal and perforated the pulp floor
lingually. He was sent to me, to further treatment. I covered the
perforation with MTA and a thin dentinadhesive composite (Flow) layer.
I found 5 canals mb,mm,ml,db and dl. The db was only 14,5mm long so I
think it was an appendix root.

Also, the Patient had a little mouth opening and had to cough very
often.

The Masterpoint X-ray seemed ok, but the Filling appears at least 1mm
to short.  To make things worse I produced some voids with the Flow
composite as I filled the canal entries.

Electrometric measuring told me full length. So I was sure I came to
proper length.

What is your opinion. Should I retreat and try to come to full length.
Or should I wait for complaints?  - I'm not sure. - Stefan

Stefan, I think I would wait and see what will happen, you cleaned the canals well so normally it has heal. When this treatment doesn't work, and you have the feeling that you can treat that canals better then I would do it later again. But in this case I think I would wait- Rob Dear Rob, thank you for answering. Perhaps you can imagine what great eyes I made, As I saw the Final x-ray. What the hell happend? Usually I can hold the length. :-) Today I See the Case bit easier. Weekend with my children, and time to step aside. - Stefan

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
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Long lower third
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CT Implant surgury

Weird Anatomy
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Canal and Ultrasonics
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5 canaled premolar

Sealer overextension
Complex anatomy
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LL 1st molar (#19)
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Premolar 45
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Middle distal canal
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Gingival inflammation
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using TF files
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Tooth # 20 and #30

Apical third
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