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...
Posted: Sun May 04, 2008 10:48 am
Guest
On Sat, 03 May 2008 20:19:16 -0400, Steven Bornfeld
<dentaltwinmung at (no spam) earthlink.net> wrote:

Quote:
You must have a clean canal for the Apex locators to work correctly.
If there is any pulpal tissue, you get a false reading.
The pulp chamber must also be dry, and it actually helps
if the canal(s) are not soaking wet.


I've had problems wet and dry. But I've usually used the apex locator
to get measurement before doing extensive instrumentation--doesn't that
kind of defeat the purpose?


With the SX and S1 you are creating a 'flare'.
The tip of these instruments is about the size of a #10


So... we are not actually instrumenting the apical 1/3.
The goal is to remove tissue, usually necrotic.
Pro Lube alternated with NaOCl- greatly helps in this process.

After initial debridement is when I use the apex locator.
Funky readings may indicate residual tissue in the apical 1/3.


Jones Beach rings a bell...
...
Posted: Sun May 04, 2008 10:53 am
Guest
On Sat, 03 May 2008 20:19:16 -0400, Steven Bornfeld
<dentaltwinmung at (no spam) earthlink.net> wrote:

Quote:
I would love to be secure enough to keep more molar endos in the practice.

Steve


1st Molars generally are easier than many bicuspids.
Just consider them anteriors with two or three extra canals <hehe>
Steven Bornfeld...
Posted: Sun May 04, 2008 11:27 am
Guest
Newbie at (no spam) bix.nex wrote:
Quote:
On Sat, 03 May 2008 20:19:16 -0400, Steven Bornfeld
dentaltwinmung at (no spam) earthlink.net> wrote:

I would love to be secure enough to keep more molar endos in the practice.

Steve


1st Molars generally are easier than many bicuspids.
Just consider them anteriors with two or three extra canals <hehe




I'm not using rotary that many years, so I don't take curves in the
apical third for granted, and before rotary I got too much transposition
of these apices. I still sometimes use just hand instrumentation for
easy, straight canals--partly out of laziness--we only have one endo
motor, and we have to move it back and forth between rooms. But I
definitely see less postop problems with crown-down since I've adopted
that (as opposed to the old step-back we learned in school).

Steve
Amatus Cremona...
Posted: Sun May 04, 2008 1:57 pm
Guest
ARRRRGHHHHH !

[runs off screaming into the distance with his arms waving in the air above
his head]

--
/

Amatus

/
"Mark & Steven Bornfeld" <bornfeldmung at (no spam) dentaltwins.com> wrote in message
news:3e2Tj.2071$GC1.1016 at (no spam) trndny07...
Quote:
Amatus Cremona wrote:
PS--yes I have an intraoral camera, but not interfaced with my computer
system.

What are you waiting for man?? !!!

Need help configuring it?


Oh, it's much worse than that! (I wouldn't know how to make it compatible
with any computer ports anyhow--it's a Tele-cam--the guys went belly up
about a year after we bought the two cameras. For that matter, I'm too
lazy to change the bulb, which burned out months ago. I most often use it
to blow up my retro--emulsion x-rays from the viewbox for my patients'
delectation.
For that matter, I'm using DOS-based practice mismanagement software. It's
much worse than you know, and you already know I use temporaries.

Steve

--
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001
Dartos...
Posted: Tue May 06, 2008 12:08 pm
Guest
Carabelli. Ortho honcho and king of the one liner.

Unfortunately he isn't around a lot.

D

PS: Are you feeling OK today? You're being way too nice. <G>

Quote:
If I left anyone out, or you don't like my description of you...
Well, I am *not* sorry, but feel free to sue if you care to.
come get some, haha

We have some other sporadic contributors, perhaps
this missive will drive them out of the woodwork. 8^]]
Amatus Cremona...
Posted: Tue May 06, 2008 12:54 pm
Guest
I spoke with Roy yesterday. Does he count?

--
/

Amatus

/
"Dartos" <tuthjockey at (no spam) myturbonet.com> wrote in message
news:1210080746_66058 at (no spam) news.newsville.com...
Quote:

Carabelli. Ortho honcho and king of the one liner.

Unfortunately he isn't around a lot.

D

PS: Are you feeling OK today? You're being way too nice. <G

If I left anyone out, or you don't like my description of you...
Well, I am *not* sorry, but feel free to sue if you care to. <come get
some, haha

We have some other sporadic contributors, perhaps
this missive will drive them out of the woodwork. 8^]]
Dartos...
Posted: Tue May 06, 2008 1:24 pm
Guest
Pretty much my technique also, except I obturate with a Pac-Mac.

I also often use a GG #3 and #4 to open things up a little before
the SX.

Thanks,
D

Newbie at (no spam) bix.nex wrote:
Quote:
Thanks.

Have refined my endo technic and should go ahead and share.

OK you guys I just saved you big bucks on an CE endo course.
Am willing to send a certificate for 8 hrs. of CE to those who request
one.
Dartos...
Posted: Tue May 06, 2008 1:28 pm
Guest
Newbie at (no spam) bix.nex wrote:

Quote:
1st Molars generally are easier than many bicuspids.
Just consider them anteriors with two or three extra canals <hehe

Usually 3 extras...

;-)
D
...
Posted: Sat May 10, 2008 5:40 pm
Guest
On Sun, 04 May 2008 12:27:08 -0400, Steven Bornfeld
<dentaltwinmung at (no spam) earthlink.net> wrote:

Quote:
Newbie at (no spam) bix.nex wrote:
On Sat, 03 May 2008 20:19:16 -0400, Steven Bornfeld
dentaltwinmung at (no spam) earthlink.net> wrote:

I would love to be secure enough to keep more molar endos in the practice.

Steve


1st Molars generally are easier than many bicuspids.
Just consider them anteriors with two or three extra canals <hehe




I'm not using rotary that many years, so I don't take curves in the
apical third for granted, and before rotary I got too much transposition
of these apices. I still sometimes use just hand instrumentation for
easy, straight canals--partly out of laziness--we only have one endo
motor, and we have to move it back and forth between rooms. But I
definitely see less postop problems with crown-down since I've adopted
that (as opposed to the old step-back we learned in school).

Steve


Key to rotary is using the side of the fine and not the tip.
The file is only in the canal for a very short time.
Straight line access is a must, so for even severly curved
canals there is only one curve in the file.
Copious irrigation, and re-capitulation are also important.

Lastly, and perhaps most importantly, consider rotary files
as single tooth instruments, and in some cases, single canal
instruments. When in doubt, throw it out.

Read about some new fangled file out there the 'RT' ?

Will expound when I know more
...
Posted: Sat May 10, 2008 6:07 pm
Guest
Where did my russian comrade Kuspov get off to ?


Have been feeling a little light headed lately.
Hope it will pass soon.... vbg

On Tue, 06 May 2008 12:08:48 -0500, Dartos <tuthjockey at (no spam) myturbonet.com>
wrote:

Quote:

Carabelli. Ortho honcho and king of the one liner.

Unfortunately he isn't around a lot.

D

PS: Are you feeling OK today? You're being way too nice. <G

If I left anyone out, or you don't like my description of you...
Well, I am *not* sorry, but feel free to sue if you care to.
come get some, haha

We have some other sporadic contributors, perhaps
this missive will drive them out of the woodwork. 8^]]
...
Posted: Sat May 10, 2008 6:13 pm
Guest
On Tue, 06 May 2008 13:24:08 -0500, Dartos <tuthjockey at (no spam) myturbonet.com>
wrote:

Quote:


Pretty much my technique also, except I obturate with a Pac-Mac.

McSpadden ? Am familiar.
Quote:

I also often use a GG #3 and #4 to open things up a little before
the SX.

Used to use GG's also, but hardly ever grab for one anymore.
Am using the short gold one with no rings for initial opening mostly.
Quote:

Thanks,
D

Yer welcomed.

Quote:

Newbie at (no spam) bix.nex wrote:
Thanks.

Have refined my endo technic and should go ahead and share.

OK you guys I just saved you big bucks on an CE endo course.
Am willing to send a certificate for 8 hrs. of CE to those who request
one.
...
Posted: Sat May 10, 2008 6:13 pm
Guest
On Tue, 06 May 2008 13:28:27 -0500, Dartos <tuthjockey at (no spam) myturbonet.com>
wrote:

Quote:


Newbie at (no spam) bix.nex wrote:

1st Molars generally are easier than many bicuspids.
Just consider them anteriors with two or three extra canals <hehe

Usually 3 extras...

;-)
D

It seems they come in 'runs' then none for a while.
always looking though.
Steven Fawks...
Posted: Sun May 11, 2008 11:21 am
Guest
Updated version. The rotary packing file is much smaller than
the old McSpaddens and has a .04 taper. Wind it up and go to
3 mm of the apex and pump it a little on the way out. Then lean
on the gp with a small flat endo condenser for a little while
as it cools.

Steve


Newbie at (no spam) bix.nex wrote:

Quote:
Pretty much my technique also, except I obturate with a Pac-Mac.


McSpadden ? Am familiar.
...
Posted: Sun May 11, 2008 2:45 pm
Guest
Nice, may give that a try someday.



On Sun, 11 May 2008 11:21:17 -0500, Steven Fawks
<tuthjockey at (no spam) myturbonet.com> wrote:

Quote:

Updated version. The rotary packing file is much smaller than
the old McSpaddens and has a .04 taper. Wind it up and go to
3 mm of the apex and pump it a little on the way out. Then lean
on the gp with a small flat endo condenser for a little while
as it cools.

Steve


Newbie at (no spam) bix.nex wrote:

Pretty much my technique also, except I obturate with a Pac-Mac.


McSpadden ? Am familiar.
 
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