During endodontic practice dentist may neglect taking periapical radiographs from different angulations that may seriously affect the treatment outcome...
This case represents a live demo for ;Management of super curvy and dilacerated roots with attractive home messages...
Please follow the case report:
A 44 years old healthy male patient that was referred seeking for root canal treatment for 38 tooth.
By clinical examination, there is a badly broken tooth that needs extraction with patient refusal....
By radiographic examination, there is a severely double curved mesial root and dilacerated distal root at the apical third of the root.
The case management was proceeded as follows;
• Nerve block anesthetization and rubber dam isolation.
• Conventional cavity preparation to allow for straight line access to the most straight part of the root canals.
• Coronal preflaring prior to confirming glide path to the root canal apexes.
• Using controlled memory rotary files in a manual mode till reaching the root canal curvature.
• Using manual files sizes 8& 10 for working length determination and to allow for canal patency.
•Using controlled memory rotary files in a watch winding motion up to size 25 ~ in MB canal and up to size 40/. 0.04 in both of the distal and ML canals followed by rotary instrumentation of the D and ML canals was done...
•Manual dynamic activation was done in all canals that was more safe than using PUI that I usually use during daily practice.
• Obturation of the root canal system using Warm vertical compaction technique.
• post and core build up were done to end this midnight party...
From the case report the following home messages are concluded;
@ Always use crown down technique to manage super curvy roots.
@Mostly it is a manual game not rotary one.
@ Don’t neglect taking periapical radiographs from different angulations.
@ Always expect the unexpected regarding complex root canal morphology.
Unfortunately, there is no absolute winner but I will give this opportunity to most correct and responsive answer in a separate post.
for more scientific activities visit:
http://www.drmoatazalkhawas.com/
Regards
Moataz Al Khawas