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 RCT done in a LR6
The opinions within this web page are not ours.Authors have been credited for the individual posts where they are. - www.rxroots.com photographs courtesy: Marcela Durán Anzalone
From: Marcela Durán Anzalone
To: ROOTS
Sent: Thursday, November 29, 2007 01:21 AM
Subject: [roots] LR6 - RCT

RCT done today in a LR6.
Pt came last week with a huge abcess. Tooth opened, irrigated, filed and close with cavit.
Today the pt was symptoms free.
Handfiles 02.
Protapers SX, S1, S2, F1 and F2 and distal F3.
I am not 100% happy with the result in the mesial canals I think I screwed it up when
I cut the a bit the gutapercha points. Comments are welcome. -  Marcela Durán Anzalone

s

Hi Marcela , Do you feel you should have left the Ca(OH)2 for more than a week ? With large lesions I generally prefer 3 - 6 weeks of CaOH)2. - Sachin Good work but you need to follow up for radiolucencies apically. - Adil Alani
Hai Marcella, The result on the xray is ok.The only thing I want to remark is that I don’t see enough of the taper from Prtotaper. Are you sure you use it properly with enough power when you brush . And do you go directly to the apex or prepare first 2/3 coronaly and then apicaly? It makes a big difference I ‘m curious about your answer,nobody, is perfect - P.S.NOYER Hi Paul, Yes, I agree with you...I am not sure if I am using the Protapers with the right movement... I use to "paint" the walls trying to avoid the inside part of them. I have the DTC motor and all the rpm are already settled in the program so. I went directly to the apex. What are your suggestions? How do you use them? -The files were new. - Marcela It looks like you gonna be happy when checking it in a couple of months. Great case, Sergio Martins. Perhaps this might be of interest. - gary what is ur protocol for large lesions.....is 1 week ok or you prefer 3-6 weeks of Ca(OH)2.- Sachin Personally, I go two weeks at a time, changing it out until I see some semblance of healing on a rad, then I obturate. I think I got that from fred. Dr. Barnett, would you care to add your considerable expertise? - gary

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