Mesiodistal crack

1 visit lateral incisior Coagulum over implant Trauma- Endo-Surgery Pre bent SS hand files Isolation for post buildup Placing MTA retrofill Horizontal percussion Calcified central incisor Temporary glass ionomer Irreversible pulpitis Ortho and retrograde coronal restoration Cervical hypersensitivity	23 year recall A gone case Weird lesion Huge lesion Pulpitis on 45 Isthmus anatomy 14 year recall Caries exposure Tooth #37 Perio inflammation Severe percussion 2 D healing Crown access	Canal with acute bend Cracked tooth syndrome Tooth discolorisation Mesial systems with POE Endo treatment Newsletter 30th May 2010 Endo implant To CT or not Buccal gingival swelling Polished collar Molar restoration Immediate implant Whiteline puzzle	Final coronal preparation Type 3 Heithersay resorption 19 year recall - Molar case Isthmus Anatomy Acute irrversible pulpitis Horizonatal,vertical percussion Orthoband cases Symmetric resorption Removing Niti instruments Calcified incisor Ca(OH)2 extrusion Resorption defect Apico on MTA

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Mesiodistal crack - 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: Sashi Nallapati
To: ROOTS
Sent: Thursday, July 22, 2010 1:40 PM
Subject: [roots] 3 canal max bi, cracked

Patient complains of  of Pain to biting. Referring Dentist wasnt sure, and quite rightly made an immediate referral.
O/E 13 was found cracked. Mesiodistal crack from the occlusal extending  into the chamber but not down the root.
RCT completed with a very conservative access to preserve dentin. patient is recommended a cuspal  /Full coverage
to prevent the crack from getting worse.

its incredible how many patients i treat have three canals in the maxillar/mandibular bicupids.
As in this patient, you see fairly regularly in patients , all premolars (both upper /lower arches) with three canals.
Jamaican population is full of these teeth - Sashi Nallapati

Hi Sashi, Beautiful work.What was your instrumentation sequence - Imran

access, use hand files to 20 to open the orifices,
TF 10, 08 ,06 and 04 files till i can get the 06/25 to length.
hand files in between each rotary to maintain patency.
sequence 04/30 in the buccals to finish and 04/35 in the palatal - Sashi

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 Obturation Churning irrigant Cold lateral Tipped to lingual Acute pulpitis images 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