I hope you are doing well and enjoying your summer. As an independent product opinion leader and clinician, I wanted to share this cool root canal case with you. The patient was in a lot of pain, and her general dentist started a root canal. Due to the canal’s complexity, though, the dentist stopped and referred the patient to me. In the pre-op radiographs, the roots appeared very curved (Figure 1). The patient also had a very small mouth with limited access.
I performed endodontic treatment in one visit using Brasseler USA’s Scout Files (17/04) and Edge Endo’s X7/.04. Next, I obturated the canals with Brasseler USA’s Bioceramic sealer. The head-treated NiTi files and Bioceramic sealer are the way to go in these cases! The heat-treated files will allow you to pre-curve and get into tight spaces, and the sealer enables you to perform single-cone condensation because it would be impossible to get the heat within 5 to 7 mm of the apex with warm vertical condensation. Notice the long palatial root (Figure 2)!
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| Figure 2: Despite the long palatial root, the right files and sealer ensured successful treatment. |
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Dr. Short attended the Medical College of Georgia School of Dentistry to attain a DMD degree in 1999. In 2002, he earned his postdoctorate degree in endodontics from Nova Southeastern University and then became a Diplomate of the American Board of Endodontics in 2009. Dr. Short is an expert consultant in endodontics to the Georgia Board of Dentistry, author, speaker, and assistant clinical professor at the Dental College of Georgia in Augusta. His private practice, Apex Endodontics PC, is located in Smryna, Ga. He can be reached at dr.short@yahoo.com.
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