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Distal with multiplanar curves - Courtesy ROOTS

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From: Rajiv Patel
Sent: Wednesday, September 02, 2009 6:06 AM
Subject: [roots] Skinny second!

The distal canal kicked my beee...hind. Since the distal had multiplanar curves, had a hard time placing cones there.
Ultimately decided to squirt the bejesus of the canal...don't  like the skiny look. Hopefully it works.
Maintaing patency was a fight to the "end'.

She wants to wait on any treatment on the first molar...Rajiv Patel

nice hands brother - Kendel Nothing compared to your squirt cases! - Rajiv Just lucky....(: - Rajiv Dear Rajiv, Not only lucky boy, just excellence as usual !!!! - Nuria Campo Nice! You worry too much :-)) - Siju Jacob hi,rajiv, really nice work , did u use rotary all the way to the apex?? and obturation with ???- nirav Thanks Nirav, I used a lot of hand files., rotaries in hand. obturation with gutta percha - Rajiv Hi Rajiv, Very well handled. I have always been impressed by the way u manage these curved ones. What is ur protocol for C&S these multiplanar curved canals - Medha Great effort! Keep on rocking! - Jörg Thanks Jorg, Sachin and Medha, My S&C protocol is pretty standard. Here it is: 1. Check for canal curvatures with small hand files -6,8,10 2. Use hand instruments in a crown down manner - makes it easy for smaller files to gain length easily 3. Gates - 3 & 2 mainly and occassionally 4 4. Create a glide path to atleast a 20 with hand files prior to using a rotary - I use Protapers and Profiles and supplement with them patency files after every rotary use to maintain patency- Lots of irrigation and at times Endoactivator to activate irrigation 5. In severe apical curves - prebending your files ( hand and NiTi rotary files both) helps a lot, in some cases I do use the reciprocating hand piece 6. Some cases I do use the Endoactivator. Hope this helps - Rajiv
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