From: Rajiv Patel
To: ROOTS
Sent: Wednesday, September 02, 2009 6:06 AM
Subject: [roots] Skinny second!

The distal canal kicked my beee...hind. Since the distal had multiplanar curves, had a hard time placing cones there.
Ultimately decided to squirt the bejesus of the canal...don't  like the skiny look. Hopefully it works.
Maintaing patency was a fight to the "end'.

She wants to wait on any treatment on the first molar...Rajiv Patel



nice hands brother - Kendel

Nothing compared to your squirt cases! - Rajiv

Just lucky....(: - Rajiv

Dear Rajiv, Not only lucky boy, just excellence as usual !!!! - Nuria Campo

Nice!  You worry too much :-)) - Siju Jacob

hi,rajiv,  really nice work ,  did u use rotary all the way to the apex?? and obturation with  ???-  nirav

Thanks Nirav, I used a lot of hand files., rotaries in hand. obturation with gutta percha - Rajiv

Hi Rajiv, Very well handled. I have always been impressed by the way u manage these curved  ones.
What is ur protocol for C&S these multiplanar curved canals - Medha

Great effort! Keep on rocking! - Jörg

Thanks Jorg, Sachin and Medha,

My S&C protocol is pretty standard. Here it is:

1. Check for canal curvatures with small hand files -6,8,10
2. Use hand instruments in a crown down manner - makes it easy for smaller files to gain length easily
3. Gates - 3 & 2 mainly and occassionally 4
4. Create a glide path to atleast a 20 with hand files prior to using a rotary - I use Protapers and Profiles
   and supplement with them patency files after every rotary use to maintain patency- Lots of irrigation and at
   times Endoactivator to activate irrigation
5. In severe apical curves - prebending your files ( hand and NiTi rotary files both)  helps a lot, in some cases
   I do use the reciprocating hand piece
6. Some cases I do use the Endoactivator.

Hope this helps - Rajiv