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From: Harald Prestegaard
To: ROOTS
Sent: Saturday, November 01, 2008 7:00 PM
Subject: [roots] The last molar of the week
The last patient on Friday with acute apical periodontitis tooth 16.
MB1 and MB2 were very close to each other and joined approx. 4 mm
form the apex. The reffering dentist had done acute treatment but the
pain had continued so she was making my weekend a little bit shorter.
- Harald Prestegaard, Norway
Harald - don't they put you in jail for superfill/extrusion in Norway
and boil you in North Sea oil. Joke - humour. Bravo.... Kendo
Of course they do, or some want do so I have to treat the patients
properly in some of the cases. This was originaly my last patient on
Friday and i got a little more Scanidinavian Look at that lower molar.
All 3 canals joined apicaly. A lot of irrigation and activation with
ultrasound, and I like the ChlorXtra from Vista. That is another reason
to put me in jail. Most of the dentsits and endodontist
are using 0.5 or 1% NaOCl.
And you forgot to mention my One Step treatment.
I think I am in seriously troubble.
Actualy today sealer extrusion and One Step treatment will not put you
in jail here in Norway, but most of the endodonists do not like it.
But we do not learn patency either but our results are comparable.
- Harald Prestegaard
Oh, and a great case. I like the puffs. - Guy
Harold, have you found the ChlorXtra to work better than 6% sodium
hypochlorite with some alcohol added? I’m still waiting for two more
stations from Vista for my EDTA and CHX. I got one and am using it
for ChlorXtra. I hate to deprive Vista of selling the ClorXtra but
Terry Pannkuk seems to think a bit of alcohol cuts the surface tension
of bleach. Obviously your opinion would be anecdotal but still I’d
like to know it. If you think ChlorXtra is that much better, I’ll
continue to buy it. The Vista stations are a really great idea.- Guy
I think we all try to do our best and if we find a product that might help
us do it a little better we start to use it. Unfortunately in most of the
cases without scientific data to back it up. Looking in the microscope it
looks very effecient and clean. But that is all I can say. I think it is
much more important using 30 G needles to get that irrigation where you
need it and I think that activation with Ultrasound 3 x 20 seconds in each
canal is much more important. But sadly we don not have any clinical data
that prove that it is the best way or a better way than.........
and it seems that we will not have those clinical scientific data because
clinical research are difficult and because of our already high number of
sucsess we need a lot of rootcanals to find any significant difference.
So a short answer to your question is NO I do not find any difference in my
work with ChlorXtra or even 1% NaOCl, but I will continue to use
ChlorXtra because up to today I think it might be a little better after all.
- Harald Prestegaard
Good job Harald, What kind of rtg sensor do you use? - Roman Bakowicz,
Poland
Thanks I am using the Digora system. I find it much more patient friendly and
much more user friendly than a sensor system - Harald Prestegaard
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