17/10/2021
Working during post influenza recovery phase is never easy, yet one would have to do that to ensure smooth running on an individual small scale dental practice.
However 3 way divergent mandibular 1st molar which was adviced for rct becomes a different level of difficult when the roots break , I kindof knew they would break cause of their apical dilaceration ( bent towards the tip) , with hard interradicular ( between the roots) bone present the option of trans alveolar was going to be a troublesome act, thus I reverted back to what I once heard from one of my seniors. ( If the tooth was mobile already you may take out the broken apical fragments by a strong file)
Thus I took a 45 # stainless steel file and bound it on the distolingual root and voila the root came out just with a tug, however the mesial flat root with 2 canals was going to be even more difficult thus I had to engage 2, 45, 50 no files and tugged it out , it came flying out... The satisfaction of doing such an atraumatic work with complete success was beyond satisfactory...