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Endo tips    Better Endo    Endo abstracts    Endo discussions

Lower molar with long roots - 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: Maarten Meire
To: ROOTS
Sent: Wednesday, May 09, 2007 12:21 AM
Subject: [roots] lower molar with long ROOTS

Tooth 36, asymptomatic apical lesion. 2 visits with interim calcium hydroxide.
Long roots, near 25mm. In such cases I like the Stropko NiTiflex irrigation tips: they go all the way down. Obtaining
patency in the mesial took quite some time. Instrumentation with hand files and protapers. Warm vertical obturation
with gutta/AH+. The buildup will be done by the referring dentist.

Question to those who consistently do their own buildups: is this tooth a candidate for fibre post/adhesive buildup?
Or bonded amalgam?

Tooth 35 in the same patient: same diagnosis, 2 visits,  handfiles & protapers, NaOCl 5%, final flush edta.
Snowpost & Clearfill DC Core.Let's hope it'll heal! - Maarten

Wow, Maarten, that molar is beautiful. Those type mesial roots scare the devil out of me. You open yours up as large as I would have in the upper third of the root. Do you every worry about a strip perf? Beautiful apical finish on a tiny root. What file system do you use and do you use Peesos or GG's in the upper third? I'm assuming this is gutta percha and ZOE sealer... it is very radio-opaque for ZOE. And the bi is nice also. Guy Maarten, wow, these are difficult cases for me, very nice! I like the post in the bicuspid, I don't think a post is needed in the molar - KendelG
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
Pushed over apex
MB2 and palatal canal
Long lower third
Veneer cases
CT Implant surgury

Weird Anatomy
Apical trifurcation
Canal and Ultrasonics
Cotton stuffed chamber
Pulp floor sandblasting
Silver point removal
Difficult acute curve
Marked swelling
5 canaled premolar

Sealer overextension
Complex anatomy
Secondary caries
Zygomatic arch
Confluent mesials
LL 1st molar (#19)
Shaping vs Cleaning
First bicuspid
In Vivo mesial view
Inaccesible canals

Premolar 45
Ortho and implant
Radioluscency
Lateral incisor
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Churning irrigant
Cold lateral
Tipped to lingual
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Middle distal canal
Silver point
Crown preparation
Epiphany healing
Weird anatomy
Dual Xenon
Looking for MB2
Upper molar resorption
Acute apical abcess
Finding MB2

Gingival inflammation
Irreversible pulpitis
AG BU ortho band
TF Files
using TF files
Broken bur
Warm technique
Restorative prognosis
Tooth # 20 and #30

Apical third
3 canal premolar
Severe curvature
Interesting anatomy
Chamber floor
Zirconia crown
Dycal matrix
Cracked tooth
Tooth structure loss
Multiplanar curves