DIAGNOSIS: LR5 Necrotic pulp with sl symptomatic apical abscess and patent sinus tract
CBCT revealed 1 canal. Access planned based off of cbct.
I wanted to share that as much as I plan (measure twice, cut once) my access with the help of my scans, I too still get easily turned around with crowns – this tooth was tipped *and* rotated – happens to us all.
#protips and #DentalClinicalPearls
TG! 1/2 round burs are my – these small burs are great for small, narrow teeth and calcifications to trough (removing less tooth structure)
I have a general rule that if I can’t get into a canal 15-20 mins after accessing, calcified or not, I need a new image, preferably a 3D scan. This rule has always served me well and saved me from a few close calls.