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Another one for the Endo Geeks

October 18, 2011 by Ian Kerr

This post is a rather specific one for dentists with a keen interest in endodontics and may not be of much value for patient information. If you are a patient visiting this site looking for information on root fillings please follow the link or look at other clinical cases within the blog.

The case shown below is one I completed using the 2mm file from SAF with only a single hand file for initial apical gauging ( I got lucky and guessed with a 30 file). No rotaries were used at all. The upper left central was treated a few years ago by an endodontist in Poland using conventional techniques. What interests me is how smaller the apical preparation is with the non rotary (SAF) approach. I think we are so conditioned to look for the wide “robust” apical plug that we might look at the SAF result as rather under prepared. I filled with a F4 ProTaper GP using a softened tip approach (1 second dip in solvent then placed soft to length and removed using locking tweezers) prior to sealing and heat condensing to 3mm from full working length. I am confident from seeing the shape of the modified tip that this represented an accurate impression of the apical shape and wonder now whether the apical filling in the upper left central may represent a degree of over preparation. The post I used was a directly applied and adapted system from StickTech, The EverStick Post System and did not require any removal of coronal tissue to accommodate a wide metal post.

As ever these posts are done to generate response and debate so we can all learn and progress our techniques. I certainly don’t think that either approach is entirely right or wrong and each will have its place but I wonder now if we need to impose our design on to the canal anatomy quite so much as before?

Filed Under: Blog Tagged With: Dental Research Update

About Ian Kerr

Dr Ian Kerr BDS qualified in 1989 from Newcastle University Dental School and has worked ever since in both private practice and hospital settings. Following a short stint in a busy general practice in the North East Dr Kerr went to live and work in Trinidad, where he learnt a wide range of surgical skills and developed an interest in the treatment of tempero-mandibular joint dysfunction (TMD). On returning to the UK in 1994 Dr Kerr worked in a prestigious private practice in Bromley in Kent. During his time there he completed extensive post graduate training in advanced restorative techniques and further advanced his interest in TMD.

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About StoneRock Dental Care

StoneRock Dental Care is a stunning dental practice in Hawkhurst, Nr Cranbrook on the Kent and East Sussex border. We provide every level of care, from routine family dental visits to complete cosmetic dental makeovers, including dental implants, teeth whitening, veneers, bridges and other cosmetic dental and facial aesthetic techniques.

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