Xtreme Endodontics

08/01/2024

17/06/2022

Apical delta (or apical ramifications)
The region at or near the root apex where the main canal divides into multiple accessory canals (more than two)..

15/05/2022

Scouting is exploring & reaching the untouched (hidden) areas of root canal..

1- Mechanically by file( k file (SS) no.8.10.12,C pilot)
2- Chemically by Sodium hypochlorite (ICH) with ultrasonic and sonic activation devices for proper cleaning the dentinal mud and debris so that we can achieve 3D obturation...

30/04/2022

Mandibular first Premolar type V is always challenging because of deep mid split anatomy and tortuous narrow canals..
Poor accessibility, poor visibility , angulation , tortuous narrow canal path...one of the toughest negotiation i hd.

1- Cone shift IOPAR
2- Depth measuring of the split
3- Flaring and straightening of canal
4- Can use Canal detector for finding orifices
5- Use smaller no. files to negotiate with edta
6- Glide path with Pathfiles
7- Rotary preparation in steps with continuous irrigation and lubrication
upto 4% size.

High chances of ledge or file separation in lingual canal due to narrow passage..so prepare cautiously...

First practice ,then do it in patients....