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Two severely calcified cases

From: Nuria Campo To: ROOTS Sent: Monday, May 12, 2008 12:11 AM Subject: [roots] 1 Day 2 Severely Calcified Cases Two recent cases. Comments and criticism welcome - Nuria Campo

which files do you use to negotiate the canals? c-files? and do you use any edta paste? - Gary Wu Hi Gary, I use K-Files 6 - 8 -10 (Dentisply-Maillefer) 21mm in order to have a little more finger touch sensation + Glicerine like lubricant. I tried s.t. C+ but in my hands they are not very useful, but actually they are designed for this cases. IMO use Edta in this cases could be even worst, because Edta is not Ca+2 selective, in other words it softens Reparative Dentine (that closed the original RC path) but also Primary and Secondary Dentine (RC walls one). In conclusion, you will increase the risk of perforation. I recommend to read this former paper and visit Rob Kauffman case reports. - Ngeow WC, Thong YL. Gaining access through a calcified pulp chamber: a clinical Challenge. Int Endod J. 1998 ;31:367-71. A Scope allows to read the Dentin Map and Munce burs are the keys but even w/o you can manage some of this ones. I have never used Munce burs. Does s.b. say which are the most used diameters (1/4,1/2,1,2,3 or 4)? Which one for this cases? Which ISO diameter have each one? - Nuria Campo Really enjoyable cases here. I use HERO Shaper rotary-NiTi-system for preparations and occasionally Torpan burs for removing old fillings in retreatment cases, also sometimes in calcified canals. Any comments on these ? Greeting from Jalasjärvi, Finland - Antti Ruuska, DDS

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