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The opinions within this web page are not ours. Authors have been credited for the individual posts and photographs where they are. - www.rxroots.com

Unusual lower second molar

From: Imran Cassim To: roots Sent: Thursday, February 23, 2012 3:51 AM Subject: [roots] Unusual lower2nd molar I dont have problems with single file and enlarging from there onwards, but this case highlights the fact that endo is not simple,every case has its own approachin terms of preparation and meticulous attention is needed to the radiographs and the need for multiple angled radiographs in assessing the anatomy especially if you dont have a cbct (another thing to add to my wish list). irrigation with 3%Naocl and 17% Edta. cone pumping for agitation(assistant dropped the endo activator and it stopped working, I am not keen to spend another R3500) condensed gp using ultrasonic tip E4 avoided thermocompaction because of proximity to IAN,but still got extrusion luckily not on the distal.took 3 appointments and 4 hours in total,lots of hand files and hand protapers,TF25 0.8 and flexmaster.Looks like some anastomosis between Ml &MM. Sergio this reminds me of the cleared tooth you posted a few hours ago - imran Unusual lower second molar

Unusual lower second molar

Unusual lower second molar

Unusual lower second molar

Unusual lower second molar

Unusual lower second molar Dear Imran, Thanks for posting your case. I had a similar case two weeks ago but my documentation is not so good, and this one is not as complex as yours. I had never seen a lower second molar with a separate MB root, and now twice in two weeks! My case had a middle medial that joined with the ML, and as you say, the MB orifice was found to the buccal, and is it's own separate (bifid) root. So what appears at first glance to be a radix entomolaris, which presents as a DL root, these are actually separate MB roots. Odd - Kendel Unusual lower second molar

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