Precision Endodontics

Today is Nikki’s Birthday!! Wishing her an amazing day and so glad we got to celebrate with her 🎊🎂🌸

So glad to see that lateral canal sealed with that radiolucency.
Happy Friday!!

Happy Birthday (slightly belated) Dr. Asrari 🎊🎂

Check out the MB root on this #18! Grateful for flexible rotary files!

Let’s talk about C-Shaped Canal configuration! We all know these are challenging to clean and fill but do you know their incidence and how they are formed?
➡️ C-Shaped Canal configuration has been shown to have a high prevalence in mandibular second molars with a percentage ranging between 2.7%-45.5%!!
The C-shaped variation in canal anatomy has also been reported in maxillary first molars (0.12%), maxillary third molars (4.7%), mandibular third molars (3.5%-4%) and mandibular second premolars (1%). Bilateral occurrence of C-shaped canals has been reported in a percentage of 70%-81%.
➡️ How are they formed?
Different theories have been presented but one of the most lucid explanation is: The failure of fusion of Hertwig's epithelial sheath:
Failure of the Hertwig's epithelial sheath to fuse on the buccal side will result in the formation of a lingual groove, and failure to fuse on the lingual would result in a buccal groove. Hence, this fusion is not uniform and a thin interradicular ribbon connects the two roots together. Failure of the sheath to fuse on both the buccal and lingual sides will result in the formation of a conical or prism-shaped root. Fusion is most likely to occur if the distance between the root canals is small.
(Ref: Orban B, Mueller E. The development of bifurcation of multirooted teeth. J Am Dent Assoc. 1929;16:297–319.)
➡️ Proper cleaning of these canals (using ultra/multi sonic techniques) aids in better outcome.
In future posts, we’ll talk about their prevalence among different racial groups.

Happy Fourth of July 🇺🇸

GP suspected a fracture based on the pattern of bone loss of the mesial root. 💨
Treatment by Dr. Ford

We honor the brave men
and women who served this country.
ℋ𝒶𝓅𝓅𝓎 ℳ𝑒𝓂𝑜𝓇𝒾𝒶𝓁 𝒟𝒶𝓎 🇺🇸

We are so to these amazing kind patients and our great team!