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Photos: Courtesy of Marcela - www.rxroots.com
From: Marcela
To: ROOTS
Sent: Tuesday, August 14, 2007 3:02 PM
Subject: [roots] Another follow up...1year
RCT performed one year ago. No rotatory instrumentation at that moment...
The post xray is not amazing but it seems that the focus is clearing up. - Marcela
Way back when, we used to look at long term follow-ups and pat ourselves on the back. Magic!? ?
Some of our work looked good and some not so good, but with the overwhelming majority, (good looking or not),
the signs of disease disappeared.? It was then that we started to wonder why? Just like global warming,
we still don't have all of the answers but at least we're thinking about it. You should feel good about
what you are doing because you are seeking answers rather than just a pretty picture.? Keep up the good work.
Speaking of pictures.? A lot of the images I receive today seem very "grainy".? I'm wondering if they are scans of
copies of digital radiographs or what?? How do you obtain and process the images for email, ( film scan,?digital
photograph of backlighted film, or?scan of paper copy of digital radiograph)?? Maybe it's something on my end but it
makes it hard to interpret the image.? Any suggestions? - Grant
Great point, Grant. Look at #19 on this film. This was done by someone before I saw this patient.
It is at least 45 years old. I'm assuming that it is an old Sargenti/silver point combination from one of my old
retired colleagues here. How does something like that stay healed and functional. The crown is just as old.
Yea, I did #18. I was absolutely convinced that there were two canals in that mesial root. There initially were two
orifices very close together but they quickly became on slightly to the buccal. Took Muellers and started trenching.
Never found another. I could see the POE with the scope and it was huge so maybe there was just one canal.
Time will tell. Made it ugly coronally but got a good fill apically and bonded lid shut. But will it last as long
as 19 if he could live that long...he won't. Beauty is in the eye of the beholder obviously. I see hundreds of #19s
and get to retreat too damned many of them. 18 is Epiphany obturated using System A - Guy
Dear Grant,
Thanks for all your comments and appreciations....I am trying to do my best and please do not forget that I am not an
endodontist. I never received any kind of hands-on training; everything that I know was learnt at the University (UPV-
Dr. Zabalegui), thanks to my father (dentist too) and thanks to ROOTs and besides I finished the university only 4
years ago.
What I am doing with the images is:
I take a picture of them in the lightbox with my digital camera; then I download them in my pc and adjust the color
with the PICASA-google program. I know that they have a very poor quality but my camera is quite old so we canīt expect
more....Sorry for that. - Marcela
Dear Marcella,
You're doing great! In spite of the lack of sophisticated learning experiences and extravagant equipment and systems,
I never cease to be amazed at the accomplishments of those who possess the one characteristic lacking in so many.....
caring. That trumps all. Keep up the good work.- Grant
RCT one year follow up
