Roots Endo Clinic

17/10/2017

2 broken instruments under the curve .. bypassed .. then one of them retrieved while irrigation

16/05/2016

Lateral LESION is an indication for Lateral CANAL

19/04/2016

Lower 3rd molar with 4 separate roots obviously seen in CBCT

04/04/2016

Upper SECOND premolar with 3 roots

01/03/2016

The Power of bone healing just in 10 months with conventional root canal treatment (without surgical intervention)

05/02/2016

26/07/2015

SHOULD I KEEP THE SECRET ?

Upon the request of their dentists, all these patients have been returned to their dentists after re-treatment without knowing that there was a broken file inside.

23/06/2015

PAIN MANAGEMENT OF INFLAMED LOWER MOLARS

Acute pulpitis in lower molars is considered a big challenge regarding management of pain during the 1st visit.
How many times you give SUCCESSFUL inferior alveolar nerve block but still you can't anesthesize the inflamed tooth well !!?

All cases shown in this post has been referred to my clinic for the same reason, the doctor can't complete his access cavity due to severe pain and some of them can't even remove the old amalgam restoration for the same reason.

Some doctors prefer to end the visit and prescribe an anti-inflamatory medication for few days telling the patient:"You have a very inflamed pulp". But unfortunately this is not effective at all (from my own experience), you just postpone the problem to the next visit because you FAILED in managing pain in this visit.
The patient came to you because he can't sleep the last night and you need him to still awake the next 3 nights !!

And another mistake is to give more than one injection to block the inferior alveolar nerve although you need only one successful shot.

One of the most amazing techniques to solve this problem is the intraligamental injection technique. Start with the MB line angle then Mid-buccal one at the furcation . Believe me it works in more than 95% of the resistant cases and only 5% of this cases might require intrapulpal injection and it will not be so painful because it will be given after intraligamental injection.

The most important factor is to deliver the solution under pressure
and this is better gained by intraligamental syringe or STA device (Single Tooth Anesthesia)

The Question is: What are the other factors affecting success of intraligamental anesthesia ??

Waiting for your answers and feedback if this post is useful or not

Mohamed Adel Hussien

17/06/2015

كل عام و أنتم بخير :)

11/06/2015

1 hour in order to find mesial canals .. no files advancing ... no catch ... nothing ... just digging with ultrasonic tips

29/05/2015

2 Broken files in lower second molar of strange morphology

22/05/2015

Don't be deceived ..
FIRST, see the radiogragh with different angle in my 1st comment