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short mesial lingual root canal - Courtesy ROOTS

The opinions and photographs within this web page are not ours. Authors have been
credited for the individual posts where they are -
From: Terry Pannkuk
Sent: Wednesday, May 05, 2010 1:22 PM
Subject: [roots] Free CBCT Scan for this patient

This is a perfect example of how a CT scan after treatment helps validate and confirm your treatment.
Frankly, I find taking a CBCT preoperatively to be a waste of radiation and patient money on this particular
type of case.  It looked like a routine Maxillary first molar but I could tell right away by the lingual position
of the MB2 and the feel that it was a short mesial lingual root canal system suspected to be a very separate root.
A preoperative CBCT would have been equivocal and not really told me as much as the CBCT after obturation .
If I had been confused regarding the anatomy I could have closed it up with calcium hydroxide and looked at the
pattern of CH diffusion to help me clean and shape the case.

After obturation I wanted to validate or at least prove to the referring dentist that I didnít perf the case,
so this CBCT was purely for my benefit; otherwise the referral would have assumed I was bullshitting and screwed up
the case, right?  Patient gets a free CBCT which is primarily for me!

Check out this interesting mesiolingual root and the fill to the tip.   There was no bleeding which would have
signaled a perf.   Exhausting case; performed in a single visit because it was vital/acute pulpitis.
There were numerous lateral ramifications in the apical third of the palatal root and the MB1 systems - - Terry

1 visit lateral incisior
Coagulum over implant
Trauma- Endo-Surgery
Pre bent SS hand files
Isolation for post buildup
Placing MTA retrofill
Horizontal percussion
Calcified central incisor
Temporary glass ionomer
Irreversible pulpitis
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coronal restoration
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A gone case
Weird lesion
Huge lesion
Pulpitis on 45
Isthmus anatomy
14 year recall
Caries exposure
Tooth #37
Perio inflammation
Severe percussion
2 D healing
Crown access
Canal with acute bend
Cracked tooth syndrome
Tooth discolorisation
Mesial systems with POE
Endo treatment
Newsletter 30th May 2010
Endo implant
To CT or not
Buccal gingival swelling
Polished collar
Molar restoration
Immediate implant
Whiteline puzzle
Final coronal preparation
Type 3 Heithersay resorption
19 year recall - Molar case
Isthmus Anatomy
Acute irrversible pulpitis
Horizonatal,vertical percussion
Orthoband cases
Symmetric resorption
Removing Niti instruments
Calcified incisor
Ca(OH)2 extrusion
Resorption defect
Apico on MTA