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Restorable ? - Courtesy ROOTS |
| The opinions within this web page are not ours. Authors have been credited for the individual posts where they are. Photos courtesy Winfried Zeppenfeld, Jörg Schröder - ROOTS |
From: "Winfried Zeppenfeld" To: "ROOTS" Sent: Saturday, September 08, 2007 4:29 PM Subject: Started treatment, was Re: [roots] restorable? I started that tooth yesterday. No new caries, so I decided to start. The radix post was no real problem, and there was a lingual canal a few mm down and an mb canal less than 2 mm short of the resection surface. My problem now: How can I fill the the buccal root? db canal which is wide open at the (resected) apex (>60, the only canal treated before - I plan on using MTA) But what about the mb canal? MTA would block me out there. On the other hand, filling that little mb first is quite a problem because any instrument or cone automatically tend to go into the big db canal. My idea so far is to prebend a cone, fit it into the mb, place it with a little sealer on, cut it off at the orifice with the system B, try to condense a little bit with a Dovgan plugger, remove excess sealer and then fill the db canal with MTA. Does anone have a better idea? I don_t think I can squirt directly into the mb for lack of view. Thanks for help! Best regards from Flensburg, Germany, - WinfriedAnother option that just came to my mind was to prepare the mb canal also to a large size and fill the complete apical part of the buccal canal with MTA. - Winfried Dear Winfried, here is a similar case, I treated 2 months ago: Referral case, dentist complained about bleeding out of the canal. Still discomfort on percussion. Missed palatal canal and the buccal one had been "prepared" to a ISO 60 without leaving anything like a constriction! I prepared the palatal canal, blocked the buccal with a customized sponge, placed the cone and a small amount of sealer, packed the palatal canal up to the bifurcation, removed the sponge with a microopener and placed MTA in the buccal. It has been quite tricky to get the right size of the sponge, but I bought a bulk package of sponges and could try a lot! ;))). The bifurcation has been located deep inside the tooth as you can see on the x-ray. I "condensed" the sponge with a plugger to fix it inside the buccal canal. Hope this makes sense. Best regards from Berlin, Germany - Jörg Schröder
Hoops, just looked at the description on the clinical pictures: I confused P and B. It should be: buccal with MTA and palatal with GP. Sorry for that. - Jörg
