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Preventing needlestick injuries |  Case studies |  Free journals Dental tourism |  Wisdom tooth |  Diabetes more info |  Dry mouth II Two mandibular incisors The opinions within this web page are not ours. Authors have been credited for the individual posts where they are From: Siju Jacob To: ROOTS Sent: Wednesday, June 03, 2009 12:06 PM Subject: [roots] Two mandibular incisors Here are two mandibular incisors I treated yesterday. Teeth were prepped By G.P when he noticed the "redness" I accessed these teeth from the incisal direction rather than the conventional lingual access. Advantages: Direct visibility with the scope. No mirror. Easier access to the second lingual canal which is the one most likely to be missed. Both teeth were non-vital and done in one visit. Canals merged together in one tooth. had separate portals of exit in the other. Very narrow canals. The patient was more impressed with the "colour change" in the tooth. Questions, Comments, Criticism welcome - Siju Dear Dr Siju, Great case. I have a patient who has lower anteriors canine to canine all with 2 canals - Anantpal what is the white material you have used around the tooth? excellent case doc and intresting to see two canals in mandibular inscisors - Dr.kishore nallapati. The white material is opaldam from ultradent - Siju I like the occlusal access on these teeth for exactly the reasons you have stated. You did a wonderful job for your patient - Dan Shalkey hi dr siju wonderful case one teeth is isolated with clamp how is the dam holding under the second one??? really want to learn the trick from u dr siju. - dr vishal Hi Siju .....nice case......all my 2 canal lower incisors have been the ones with the incisal access...wonder how many I have missed with a conventional lingual access - Sachin You can extend the access lingually even with the conventional Access. - Siju what do you attribute to the redness ? - vipin Blood and pulpal remnants in the dentinal tubules - Siju I get the idea that the red colour is due to blood. But without trauma how can a tooth become red because of blood? pardon my ignorance - Vipin There was probably trauma earlier which wasn't noticed. Other causes include: 1) Restorative procedures without adequate coolant. 2) Trauma from occlusion - Siju

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