How to UNROOF a Maxillary Molar Predictably. 

Was thinking exactly the same, that should have been the first thing to say in this video…

I don’t get it. Can you explain a bit?

I wish I read your comment before I watched the whoooole video.

​@warda5469 as you can see after he completed the access cavity, the floor is darker than normal dentin. Unlike what it looked like when his student thought he reached the floor. So there is a change in color + your preoperative radiograph also shows the level of the pulp chamber roof so you'd know how close you are.

How did it go?

@@AbanoubMG Patient hasn't come back yet. Ill try to remember to keep you posted

You probably have 2 canals there, insert a k-file in each, take an angulated xray and check for yourself.

@user-kl9mf7ec2l Never be too shy from taking as many Xrays as you need, i have done like 2k+ rct and i still take xrays when im not sure what's happening, slowing down and taking your time is the best thing to do for unusual endo cases, make sure your patient is numb for sure (intra ligamental and intra pulpal helps a lot), insert your files and take multiple x rays to check where your files are going.

have you seen an ems with a non cutting tip?

@@Dentrodeldiente i simply use the EMS for scale and cleans and i max out the power. the roof of the pulp chamber is soft enough for it to break through. i do this for my molar endo cases

I find that if the canal is too dry, my apex locator tends to give me wrong WL too, so i usually only dry it with an air syringe, also a third way for confirming WL other than xrays and apex locator is just to "feel it" with your k-files, i can tell i'm at WL when my file drops a little beyond the apex, there is a kind of "click" you can feel and the patient will generally feel a bit of discomfort aswell, it isn't reliable but it sure helped me a lot.

How so?

i wouldn't consider this as "destroying the tooth". i think is is a fine example of predictable access preparation. the access cavity appears to be free of decay. it also seems to be quite restorable based on the information given here on youtube (i.e. radiographically as well as intraorally). you can clearly see the orifices, straight line access giving the operator room to work his/her handfile and rotary/reciprocation instruments. remember, restorability is based on how much tooth structure is left after caries removal. to simply say this is "recreational dental malpractice to get away with BS" is offensive to the hard working professionals out there to save teeth - this is someone's tooth that may last for many years to come

in addition, root canal therapries are done to remove infected canals of a tooth and in this case a clear diagnosis was given using the American Association of Endodontics guidelines

@@KHgoalkeeper21 you're correct, even I was shocked why he's saying that the doctor destroyed the tooth😂