Lower molar with long roots - Courtesy ROOTS
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From: Maarten Meire
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