Interesting anatomy and a slightly better end to a rough day. See my IG stories for one of many reasons why it was rough!
Tooth #15 (tooth 4.7) with pulpal necrosis, SAP. The distal had an incomplete fracture leading to pulp exposure. Fused roots but the canals didn't join although I would have expected them to. What made this case tough was that this second molar was in a 6 ft tall gentleman...with a tiny mouth. And I made things harder for myself since i didn't want to open the access further in order to preserve tooth structure. I relied instead on pre-bending hand files and using controlled-memory files.
The thing about controlled-memory files is that their advantage, being super flexible and holding their shape, is also a disadvantage when trying to use them to initially penetrate a small canal pinpoint orifice. They tend to give too much, which is the advantage of orifice opener files (larger taper and stiffer). That's why although I have a general set-up, I have preferences for certain types files/instruments for individual situations. Hope everyone had a great Friday. Have a great weekend!
#justoneofthosedays #smallmouth #Ineedanap #endolife #butiloveit #Indiannotthearrow