From: Mark Dreyer
To: ROOTS
Sent: Wednesday, August 24, 2005 3:33 AM
Subject: [roots] (no subject)

I started this t-fill re-tx almost a year ago, and the patient disappeared.  Today he returned for completion
and I was shocked at how conservative my initial access prep was.

The first thing I did was enlarge the access (maybe too big?) and boy did this simplify tx.  I even found that
on the initial visit last year, I had incompletely troughed the isthmus between the mb & ml.  I toughed it out
pretty far down today, and didn't find a mm canal, but I did trough out a bunch of junk that I missed last time.

I tried to get a photo at the distal of the leakage under the core so as to communicate to the referring doc
the need for a new crown.  Not a perfect picture, but this was about the 4th try and the patient's adolescent
sons were going stir crazy, about to climb the walls, so I went with this photo - Mark Dreyer