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Endo tips    Better Endo    Endo abstracts    Endo discussions

Troughing advice II - 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: Jörg Schröder
Sent: Thursday, October 06, 2005 2:02 AM
Subject: [roots] Troughing Advice Part 2

after getting so much help it was almost impossible to not find 
another canal. It took me almost 90 minutes to get the anatomy in 
the second visit. The DB started from a small groove connected to 
the P. No canal where I had expected the DB to be.There was also 
a fin from P to MB, but it ended as a dead end. No MB2. ( I wasn't
really disappointed about that!). The MB had a nice bend next to 
90 degree. A lot of prebended handfiles and ProFile up to
25/04. But no patency  After drying the canals I realised, that 
there was a small amount of liquid next to the P. I took a 
microopener and found a high lateral canal. Due to time reasons 
I only obturated the P, the lateral and the DB. In the next visit 
I removed the GP from the lateral canal and opened it a little 
more with US. After cupious irrigation I obturated the lateral 
and as I tried to explore the MB I separeted a steel-handfile
( I had been too shure that this one has become a no-brainer) 
But as quick as it went in, the broken file came out with the 
help of my P5. Obturation of the MB and adhesive build-up.

Although  the prognosis of this tooth doesn't seem to be very 
well the patient decided after been informed about all
the treatment options to give it a try.(there is no mobility!!) 
this tooth has been treated by another dentist with
laser to "clean" the pocket for 2 years! - Critics wellcome.
- Jörg Schröder , Berlin, Germany

If I ever need endo I'm going to Berlin. Standing Ovation. Now I know you are truly crazy ;-)) Insane effort! - Kendel

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