The Endo Fix

Large Canals

Hampton Roads Endodontics

Kind of rare to see these wide open canals on a 60 year old. The patient initially presented with buccal probings to the apex on this second molar. I used some pre-bent 10 and 15 files on the distal, mesial lingual, and mesiobuccal canals. I used a 7.04 rotary file on the mid-mesial canal. Instrumenting large canals takes a little more time. Continuous taper shaping of these canals would have likely perforated it coronally.  So for these large canals, this is root-form appropriate instrumentation of the internal aspect of the root. Looks like there were 3 POE’s on the MB root. The lateral canal evident on the postop may have contributed to the furcal blowout.

-Trudeau

“T”!

This is a primary tooth (T), I treated 7 years ago. Looks like it’s still hanging in there. Primary teeth have very thin roots so large shapes are contraindicated. This is one of the teeth that helped shape my ideas about root form appropriate instrumentation.