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Pulpsnatcher last won the day on October 7 2016

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  1. Smooth and curvy Final X-Ray: Case Summary:This patient presented having had a crown placed several months prior on #14. He had a parulis towards the mesial apex. On the first visit, I opened and cleaned and shaped the canals being very conservative in my cervical and middle canals as the roots were 23-24 mm long. I used the 25/08 XR file to open the orifices and #8 and 10 hand files to establish patency and obtain working lengths. After irrigating with 10% citric acid, I established a glide path using PathFinders then shaped using .04 and .06 tapered EdgeFile X7 under full strength NaOCl (~8%). Both MB1 and MB2 were finished with 20/.06 and the P and DB canals at 20/.04. At a second visit, the canals were obturated using thermoplasticized gutta percha with Kerr's EWT sealer. Files & Products Used:Edge File XR-R2 (orifice opener), Edge File 30/04, 25/.04, 20/ 04 and 20/.06. Additional X-Rays & Extras: View full case
  2. Curveballs on #31 Final X-Ray: Case Summary:The main difficulty in the case was the dilacerations in the apical 3 mm of all canals. To be able to fully instrument and clean the canal system, I started with proper access. I used the Edge Endo 25/.08 gutta remover file as an orifice opener . I negotiated the middle portions of the canals with #'s 8 and 10 files and irrigated with 10% Citric acid. I then started carefully negotiating the apical thirds with #6 FlexoFiles, followed by #8, 10 and 12. At this point, I switched to NaOCl and started using .02 tapered rotary files to create a better glide path. I started crown down with EdgeFiles #30/04, #25/04 and #20/04. Canal preparation was completed by dropping in a 20/06 in the D canal to full length but shy of full length in the mesial canals. Obturation was completed by warm vertical compaction of a cone in the D canal and by "squirting" or syringing/compacting warm gutta percha into the mesial canals. I restored the access with CoreFlo DC (BISCO) and Heliomolar resins. Files & Products Used:FlexoFiles #6-12, Dentsply PathFiles #13,17, 19; EdgeFiles #30/04, 25/04, 20/04 and 20/06; 10% citric acid followed by full strength (8%) NaOCl. Kerr EWT zinc oxide eugenol sealer, Charles Schwed Nano flow gutta percha point and B&L Biotech Beta gun with regular flow gutta percha. Additional X-Rays & Extras: View full case