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Access Preparation

sinus tract

A Misdiagnosis: a Big Nail in This One’s Coffin

August 23, 2016

Patient presents with apparent sinus tract in quadrant 4. According to the patient, the sinus tract had been identified by a hygienist during a hygiene appointment. Subsequently, the endodontic treatment had been initiated in order to resolve the infection…

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clinical photo of a tooth

An Unconventional Access

March 16, 2016

Patient presented with #1-3 pulp necrosis and chronic apical abscess. Due to missing #1-2, mesially tilted tooth #1-3 had been restored as #1-3 and #1-4 splinted crowns in the place of #1-2 and #1-3. The clinical picture shows a ceramic interdental papilla which covers the root of tooth #1-3…

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tooth malrotation

When Lingual is Occupied

August 19, 2014

Sometimes when the conventional endodontic access is not possible, the unconventional approach can save the day. A clinician should always aim at establishing a straight line access (SLA) in order to properly instrument, irrigate and obturate the canal system…

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munce burs

MB2, a Pain in the Neck

April 10, 2013

I was taught that MB2 canals in upper molars are there 60-70% of the time. Newer tools and techniques show us that MB2’s are always there whether or not we can get to it. As a matter of fact I tell our endodontic residents at UBC that “if you haven’t found it, you have missed it”…

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