This was a lecture I made for my friend Vivek Hegde to be uploaded on his online learning platform called “One dental”. It was primarily meant for General dentists to educate them on some of the common anatomical variations we see in everyday endo practice.
Most of these are slides from 15 years ago. Centering is another term I first heard from Cliff Ruddle. We can use Centering as a tool to find canals. The slides are self-explanatory.
These are some old teaching slides from 2006 I found on the comp. Probably could be used even today I guess. The “Dentinal map” on the pulpal floor can be used as a guideline to locate canals. The pulpal floor has a grayish tinge compared to the adjacent dentin which is more whitish. Canals are […]
Endo and crowns were done by a general practitioner, after which the patient developed pain and tenderness. I Re-treated both teeth and placed fiber posts to strengthen the hollowed out coronal portion.
This was a case where there was a large cervical caries leading to pulpitis. The pulp chamber was calcified and the floor was quite deep. Fortunately, the microscope makes these cases a bit more predictable.
This is a garden variety middle-mesial canal i tretaed in 2009. The crown done by the referral was a bummer. Patient came back a year later with discomfort. The periapical lesion had healed, but the crown had an open margin leading to food impaction. I suggested changing the crown. Liviu Steier requested that I convert […]
This was an old case i discovered on my comp. I treated this case in 2006. It is probably a good case to demonstrate the location of the middle mesial canal.Strangely, the first thing that I thought when I saw this case today was, “Did this really benefit the patient? There wasn’t any lesion and […]
This was a routine Maxillary pre-molar Re-treat. Always nice to see some anatomy being filled in the end.
We often see maxillary second molars, which, at first glance seem to have just 2 canals, one Buccal and one palatal. A closer examination of the Buccal canal will often reveal bifurcation into two canals, DB and MB. Here is one such case.
This was referred by a clinician who started the case thinking it was a regular premolar. Looking at the radiograph that the referral e-mailed me, I was expecting a Two-canalled premolar. The master-cone radiograph showed the lack of centricity of the two canals i had discovered. I went back in and found the third canal.