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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. -

V shape and not C shape - 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: Imran Cassim
To: roots
Sent: Saturday, January 07, 2012 9:12 PM
Subject: [roots] For Antonis-Not a C shape but V!!?

Another frustraing case
Patient had limited opening and short man's syndrome (about my height though!)On the pre op I knew
something was lurking,But all seemed normal at end of first visit.while double checking lengths at
second visit, got jumpy readings on EAL. So went in with precurved 15 k-file and EAL attached and
I thought I had ledged at first or perforated.but the cone fit x-ray unveiled the anatomy. So prepped
split up to 35(protaper handfiles to F2 then k files to 35 )

Obturation - even worse, at this stage the patient wanted the bite block out of his mouth. tried to
fit 2 cones,no joy, thermomechanical compaction, no joy , settled on ultrasonic condensation,
to try and condense gp, after 30 minutes that is the best i could get(3&4) that void in the distal
fork haunts me when i look at the obturation x-rays and looks like its only sealer in there.
I asked him to return for us to try again  but he said he doesn't think he needs to and hates the
dentist and doesn't want to waste more money at the dentist(where have I heard that before!)
---new years intention: get system B unit and Scope!
On the lighter side he is Welsh and said the obturation xray reminded him of a Celtic symbol.

Deep splits,i get a rush everytime i get a file in there and manage to instrument them but
obturating them , another ball game.

If any educators are reading this or corporate guys- It would  be great to get plastic blocks
with a deep splitting canal, this would be great to practice instrumenting these types of canals
and practice obturating this type of anatomy -  Imran

What an anatomy! Great handling. It reminds me taurodontism . I wouldn't worry so much about the gap there. You are right. Unfortunately the plastic blocks are made for easy straight forward cases. Deep splits need more than one file does it all and one cone technique - Chaniotis M. Antonis
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