Extremely tough canals


The opinions and photographs within this web page are not ours.
Authors have been credited  for the individual posts where they are.
Photos: Courtesy of Sashi Nallapati- www.rxroots.com

From: Sashi Nallapati
To: ROOTS
Sent: Sunday, May 06, 2007 12:21 PM
Subject: [roots] one more sashi bi from 3 weeks ago

This one was extremely tough to negotiate the canals.- Dr. Sashi Nallapati




Sashi, Gorgeous, as usual. What else than world class endo could we expect from you? - Marga

Marga, I am glad you approve of it - Sashi

Sashi, First a comment on the cases you have shown in the last month or two.  Now that I have been using a scope for
nearly three years (hard to believe), I want to say that your cases illustrate how experience with the scope is
critical.  We have to learn to "read" with our scopes, read subtle cues and clues, correlating this info with other
sources of data--like radiographs, external anatomy, etc.  I do not think it is as simple as "get the scope, find the
calcified canals", etc.

I say this because even after a few years, I still am learning to interpret the subtle cues and have the confidence
and experience to execute in difficult situations.  All of this is to say your work demonstrates excellence,
experience, proficiency at a very high level, and gives me something to shoot for.  Sometimes I'm able to succeed
with these challenges, other times I come up short, but it's exciting when things flow and work, and we can feel how
we have progressed and how we have solved problems in the past. - KendelG

Kendel , I cannot agree with you more on your observations. bottom line, we have to keep our eyes, ears and mind open
after investing in the necessary equipment - sashi

Hi Shashi Very nice case ....Kindly tell me how do the three canals present themselves................I mean are the
canal orifices in a straight line bucco- palatally or do they present themselves like the MB MD and Palatal of an
Upper Molar. Thomas had once mentioned that the 3 canals present themselves like an upper molar but I always feel hat
the third might the one in between the buccal and palatal in the trench between the two. - Sachin

Hi sachin, it presents as a mini molar  MB,DB and palatal
please see attached slide courtesy, hebranson, brown
depending on your luck, the two buccals split either in the coronal . middle or apical third. more apical the split,
the more difficult is the negotiation obturation. you can have a small canal in the groove between buccal and
palatgal, but that's more like a furcal canal. - Sashi



Your comments please