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 à bit easier. Weekend with my children, and time
to step aside. - Stefan