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Necrotic case with AP
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From: gary l. henkel d.d.s. To: ROOTS Sent: Monday, April 30, 2007 4:25 PM Subject: [roots] just call me pepsi i mean coke I know everyone gets tired of seeing the good cases, so I’ll show you one I could have done a lot better. Necrotic case with ap. Access gained high on tooth near incisal edge for straight line access. Tried to keep minimal access as I don’t like crowns on mandibular anteriors due to the loss of tooth structure preparation requires, so I wanted to maximize wall thickness. I thought at first I had a 2 canaled tooth, but that was not the case. Instrumentation sequence was gg 3,2 (did not start with a 4 because of the size of the tooth. Then guidance hand files #10 .02, .04,.06, only the .02 used to gain patency, others kept at wl. Finished with liberator rotaries to apical size 40 .04. filled with Resilon/epiphany squirt and vert condensation starting with dogvan blue end. Access restored with composite resin. Against my usual protocol for ap cases, I one timed this one. Hope it doesn’t come back to haunt me. Post mortem: overambitious with the gg’s although I stopped when resistance was met. That’s where the coke bottle developed too much sealer applied- took out most with dry paper points, but results say otherwise trying to keep up with the dweyer’s is killing me! - Gary L. Henkel D.D.S. M.A.G.DYou must have gone to NY just before this case..)))) just kidding. ....who cares if you get it to heal..... the main thing is to recognize what you did and how to prevent it in future. post a recall - Ahmad All right, I'll send a crappy case, Henkel. 2 visit necrotic. Never able to find an mb1/mb2 canal. Troughed down the root and gave up when the color markers disappeared. Symptoms went away between visit 1 and visit 2 with caoh in the canals, so packed it today and prepared her for possibility of future issues. Placed amalgam buildup. Keeping my fingers crossed. I thought the palatal fill looked nice anyhow. There feel better? LOL - Mark Mark: are you going to cut it when the time comes? this looked like a tough case from the start.- Ahmad Lol. That was a tough one. And I just realized I apologize for slaughtering your name. apparently I not only can speak my R’s, I can’t type then either. Call me Bawbawa Waltews. - Gary Your comments please
