4-canal #3...Ouch!!

[ToothPrepper]

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Hello everyone, I'm a brand new SDNer.
I am embarking on my very first RCT for none other than tooth #3. After doing the extirpation, I found out MB1, MB2, Paltal, and DB where all there. Could somebody give me some advice on where to start? I mean, which canal would you go for? Any tips on how to tackle this baby will be greatly appreciated. Thanks!

 

[tinker bell]

If MB2 is instrumentable, you have to clean & shape & fill it too. Welcome to the world. Clean & fill them all, baby. I would clean them first in one appointment, then fill them in another appointment.

 

[capisce?]

You're probably paying a lot of money to be in dental school. Ask your endo and other professors/faculty...that's why they're there!

 

[OceanDMD]

Hello everyone, I'm a brand new SDNer.
I am embarking on my very first RCT for none other than tooth #3. After doing the extirpation, I found out MB1, MB2, Paltal, and DB where all there. Could somebody give me some advice on where to start? I mean, which canal would you go for? Any tips on how to tackle this baby will be greatly appreciated. Thanks!

Max 6yr molars have MB2s >50% of the time. Dont stick a file in there until you have cleaned the orifice and have straight line access. Oh, and I hope you are using a microscope......🙂

 

[Sam1980DDS]

I don't have any preferences as far as instrumentation goes, however, for obturation, always do the most difficult canal first.
do MB2, MB1, then DB, then palatal...
this technique is best when you do lateral condenstation.
However, as far as obturation, the same seq. can be used for system b or Prosystm gt
HOPE IT HELPED
also make sure, have the patient's chin up while you are doing the upper molar, pt can be the greatest help.
since MB1 and MB2 are very close to each other, while obturating one, put explorer os something in another so you woudn't block the other canal.

 

[DrJeff]

Personally, for most upper 1st molars, I'll instrument the MB1 before the MB2, since generally speaking it's easier to negotiate the MB1. This way I have a very solid estimate of clinically what my working length will be prior to me really working on the MB2.


Best thing to do though is just develop a patttern of how you'll instrument the canals on each tooth and keep using that pattern. This way it will very soon become a routine where all you'll really be thinking about is just minor details of the endo procedure as opposed to worrying about each and every step/detail. Same thing applies for most any clinical procedures we do, just find a pattern that works for you and apply it to each tooth you work on, it will make your dental life easier in general👍

 

[tinker bell]

I'd do m,d, p, and last mb2. Sometimes can't negotiate MB2 so you just leave it. But why are you worry so much. You pay a lot for the school, get the faculty to teach you.