“Will the prognosis of the tooth be affected if we leave a separated instrument inside the canal? It’s a very frequently asked question. The separation of an instrument brings about nightmares to the clinician as well as the patient. The success of the treatment outcome is compromised when an instrument is separated during the shaping…
Clinical Considerations in Management of Complex Apical Root Canal Anatomies
Root canal is a complex three dimensional system within tooth. Wide range of complex variations exist in root canal anatomy. It is made further complex with the presence of lateral ramifications, extra root or extra canals. Apical third of the root is always with highest percentage of ramifications and accessory canals. Among all the teeth…
Managing an Iatrogenic Sinus Lining Perforation During Root Canal Treatment
A46-year-old female patient was referred to our practice for the management of grossly carious26 (Left Maxillary First Molar). On IOPA close proximity of the Palatal canal in relation to axillary sinus was noted. In the first sitting; patency was achieved with hand files and thereafter canals were prepared till 20.04. Suddenly profuse bleeding started from…
Shaping Sequence A Dilemma for Dentist
Have received many queries from dental colleagues & students asking – What file sequence they need to follow during shaping procedure of Root Canal Treatment .With almost 10 years into practice , I will share the shaping sequence that I follow so as to minimize file separation during procedure.First of all; have a good look…
