From: "Richard Schwartz"
To: "ROOTS"
Sent: Friday, July 13, 2001 9:19 AM
Subject: [roots] Re: Sedation case

Did a couple molars for this lady today.  She is a nurse, very
intelligent, but a dental phobic.  She is treatment planned for 6 root
canals.  She can't bear the thought of having a root canal and wanted them
to be done under general anesthetic.  No one in town does that.  She ended
up in our office because we are the only endodontists who offer IV sedation.
We gave her some Versed and Demerol and she was a perfect patient.  The
beauty of Versed, of course, is that they rarely remember much afterwards.
We only do sedations about once a month, and discourage patients from having
it whenever possible.  But it is a wonderful thing for those people who need
it.  We use Halcion a from time to time, which usually works very well.  I
had hoped to do more than two teeth today, but the first molar, especially,
turned out to be tough.  Both pulps were necrotic.  Yeah, I know Bill, there
is a void in the distal root of #19.  And no, Fred, no CaOH.  Yosi, how do
you like the YTHT?  Anyone else offer IV sedation or other techniques?

Rick








From: Peter Cancellier
To: ROOTS
Sent: Friday, July 13, 2001 9:54 AM
Subject: [roots] Re: Sedation case

Wow Rick,
I notice the subtle changes we discussed. Fantastic. You are kewl.- Peter

From: "Glenn van As"
To: "ROOTS"
Sent: Friday, July 13, 2001 9:57 AM
Subject: [roots] Re: Sedation case

Ricardo Ricardo........I GIVE UP.

Outstanding cases, now I know what i was missing when I was gone.
Again outstanding, I especially like the second molar.  WOW. - Glenn

From: "Adib KASHANI"
To: "ROOTS"
Sent: Friday, July 13, 2001 10:26 AM
Subject: [roots] Re: Sedation case

Richard

Let me share an interesting anecdote with you.I took over this practice from a Danish
dentist. She practiced endo in a very interesting way, she used 0.2% CHX as an
irrigant exclusively (apparently bleach stained  her clothes, never touched it),  she
did the treatment in 2, 3 -4 visits and used Ca(OH)2, inter - appointment, never
used RD and she obturated the canals with single cone GP + AH26 with no form of
condensation. Over the past 5 years that I have followed her cases and I have not
found any failures.

The interesting thing is , that she preped the canals very much like you do but with
less taper.  This I think is the only reason her cases work.  Those of us with
insight, let us take heed.

I try to do the preps this way, however, at times when I miscalculate the working
length (too long) I really get burnt, any suggestions?

Regards