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lateral canal or strip perf? - Courtesy ROOTS

The opinions and photographs within this web page are not ours. Authors have been credited for the individual posts where they are. - Photos courtesy of Bill Seddon - www.rxroots.com
From: Bill Seddon
To: "ROOTS"
Sent: Wednesday, April 13, 2005 11:47 PM
Subject: [roots] lateral canal or strip perf?

Just completed this case. No blood on paper points at any point,  no bleeding from within the
canal.  Largest rotary used was F2 always leaning on the outside of the canal,  rest by hand.
Looks like it may be a strip perf, but I wonder if I can see an accessory canal on the pre op?
I'm sure I can see a line of sealer / gp  leading to the blob from the main canal convincing me it's a lateral.

I hope to review in a few weeks as pt. needs 3 other teeth treating.  Look forward to posting the recall rads.

Sadly only three canals though - Bill

Benjamin Schein wrote: Although you have gotten responses on this case elsewhere. I think it may be a striping of the internal wall of the root at the concavity(see arrows in diagram). However, it will work unless the patient develops advanced periodontitis affecting the attachment apparatus in that area Thanks Ben, Does the aetiology affect the management of this? There is a hole in the root, does the root know whether I made the hole or it was there already? Unless there is communication with oral bacteria then it should be just fine. I'll make sure to give cleaning instructions at next visit. Patient is 55 and has pretty good bone levels for that age, so I hope they can be maintained - Bill Looking for a different answer over here? ROFLMAO. I still think its a lateral...John A Khademi Although you have gotten responses on this case elsewhere. I think it may be a striping of the internal wall of the root at the concavity(see arrows in diagram). However, it will work unless the patient develops advanced periodontitis affecting the attachment apparatus in that area - Bill
Strip perf, difficult to avoid because of the particular anatomy - Carmen
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