This is why the use of the microscope is so IMPORTANT in Endodontics. This is an upper first molar with 5 canals. I like to clean and shape first the main canals to work after on the accessories. In this case I found a MB2 and MB3 canal. It’s IMPOSSIBLE to do this with the limitations of our naked eye, even with loupes. Mind as well the “conservative” access done in this case.
Love looks through a telescope; envy, through a microscope.
This case was referred to me for a re-treatment of the upper first molar with apical periodontitis. I found 5 canals. Notice the unusual location of the MB2 at the entry of the palatal canal and a DB2 next to DB canal
I can’t imagine to do a root canal treatment without my microscope. The human eye is limited and without microscope, we are not able to see important details for the long term success of the treatment.
This photo shows different grades of magnification. It was taken before the obturation with the canals already cleaned and shaped that’s why the MB2 is so visible.
Vision is the art of seeing what is invisible to others.
On this kind of cases we just need to take extra care and patience to do it. It’s very important to enlarge the canal little by little, irrigating all the time to remove the smear layer and avoid ledges when we perform root canal treatments.
The two most powerful warriors are patience and time.
Last month I completed my PhD. awarded with the Cum Laude. It was probably one of the most important days of my profesional career. It took me 3 years and and has been done over 3 countries, Spain, UK (where I was teaching at Manchester University) and UAE.
I just want to say thank you to all the people who has supported and pushed me during all these years.
“…caminante, no hay camino, se hace camino al andar…”
This video is about a dentin bridge I found during a root canal re-treatment of an upper seven molar. Every time I found them I like to preserve these structures to avoid tooth weakening. Only with the help of the microscope we can distinguish these kind of formations from pulp stones. In this case the bridge was crossing the palatal canal.
What is great in man is that he is a bridge and not a goal.
Extreme case of root resorption. 13 years old patient on holidays suffering pain on central incisor. The whole canal was filled with Bioceramic (FKG), sealer and putty consistency. Last picture has been sent from his happy dad after 5 months. The tooth is symtomless and healing!!