I’m very proud when GDPs send me postop pa’s where they have successfully managed complex anatomy using some of the materials and strategies that we are encouraging. Distal buccal canal “easily negotiated with vs flexi files”. Control memory files have excellent flexibility. You can mix and match systems depending on the requirements of the case. For me 13/4 gold and 17/4 blue should be default for all complex cases. Will save you so much time.
Case Study 2
here are two from today. Mantra of the day "please don't break, please don't break". Both with s shaped curves and ideal to put the vs flexi blue files to test. First up an ul6. Periodontal treatment complete and stabilised now. Necrotic case with her of acute flare up a few months ago. Used the existing filling as a guide to orientate the access cavity. Numerous pulp stone encounted. Prepared DB and P first and let the MB soak in NaOCL whilst doing so. Inspired by Thibaut Merit I went as low as 20/06 in the MB root system. 25/06 for P and DB. Irrigation with full strength hypochlorite and endosolution and irriflex tips. Endoactivator yellow. Microsuction to dry the canals. Placed total fill sealer and fed this to the length of the canal using a 25/029 gp point. Decided to customise 20/029 for the MB and 25/029 GP DB with a taper plate and MF GP for the palatal. Luxacore to seal.
Case Study 3
Vs flexi blue.
Case Study 4
Case Study 5
Had a play about with the tooth saver VS flex files today and managed to prepare this to a 25/4. I tried to rest the files and went from a loose size 8 in the MB canal to the 13/4, 17/4 and then the 25/4. The DB started with the size 8 being quite passive to length apart from the apical third, so I went straight to a 17/4 to see how it performed and it was straight forward. Moving to the 25/4 from there was easy. These are both different angles of the MB canal