Rampant interproximal caries - Courtesy ROOTS
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From: ahmad tehrani
Sent: Monday, February 20, 2006 12:49 AM
Subject: [roots] hockey stick in time for winter Olympics
UR 2nd premolar(#4)
rampant interproximal caries.
Irrev. pulpitis, normal peri-radicular periodontitis. moderate
gingivitis #4 , Carious extension to the pulp via the fracture
of existing alloy in isthmus area. worked the small curved files
( 10, 12, 15, 17<--->17,15,12,10) with Slide (=*RC-prep)
until a reproducible glide path was created.
Copious NaOCl & Anolyte in conjunction with EDTA, H2O2, ethanol,
CHX. capture zone created in .05mm segments with successive files
to a size 60 up to the curve. System S obturation.
incremental B/U with composite over a layer of Fuji GI on pulpal
floor. didn't do a good job with dry pp to remove the enough sealer,
but he's been asymptomatic - ahmad
Superb, great to see your work again ! - Thomas
Ahmad, do you mean .5mm step back? Onyx-R? awesome prep of the
"red zone", great stuff. thanks for sharing, - Kendel
Hi Kenny G:
actually Flex-O files....but any file would do I guess.
Dave Rosenberg recommends a .25 mm preparation of the red zone.
His preps are actually 1/4 mm shorter of the MAF. I am not as
talented as Dave R. so I take the lazy way out and prep it
by .5mm increments.
But you are correct , I step back from a #35 MAF like this:
40 @ 19.5
45 @ 19.0
50 @ 18.5
55 @ 18.0
60 @ 17.5
At this point you can use any method of obturation you want.
cone fit or squirt.
I use the most predictable method of warm vertical with excellent
length control..... System S...-:) - ahmad
thanks Ahmad, I just thought you might have used NiTi hand files
with that curve. two weeks away from visiting Phoenix----looking
forward to that,
I noticed Rosenberg will speak at the TDA this year, so I will go
see his presentation, - KennyG
Stropko/Dovgan put a lot of work in to their course.
And the class size is just perfect.
as much as I hate going to TDA, or ADA meetings, I may join you
there. do you know which day Dave R, is speaking? - ahmad
Ahmad, I like the Olympic relationship. Your end product looks
great to me. A little puff like that is wonderful compared to
some of my results. How do you know what material is out of
the apex ? - Dr Danny
Really nice case, Ahamad. What did you use to restored that
bomb? - Guy W. Moorman, Jr.
Fuji IX over the GP & orifice.
Tetric Ceram composite for gingival floor and interproximal
walls. Luxacore for bulk. - ahmad
Ahmad this case looks like a LS case. Did you use LS or LSX
on it? Nice case as usual - Carlos Murgel
Just a curved bent SS file with endo bender...no LS files.
I haven't seen the new LSX files...have you? - ahmad
Yes I had. They look very good but didn't use them yet.
I am playing with other concepts now of root canal
instrumentation. I like to learn new things - Carlos Murgel
The human version of the lsx is not yet available - gary