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Troughing advice II - Courtesy ROOTS
From: Jörg Schröder To: ROOTS 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
