Dr Mary Dabuleanu discusses how to avoid root perforations during access скачать в хорошем качестве

Dr Mary Dabuleanu discusses how to avoid root perforations during access

In this short video (7m:45s), Toronto endodontist Dr. Mary Dabuleanu discusses how to avoid root perforations during access cavity, and what to do if one arises. Key messages: How do we avoid Perforations? •You need to always assess the degree of axial inclination of the tooth prior to access. •Probe around the tooth to determine the shape and orientation of the CEJ. •Be cautious in patients with limited opening which can result in unintentional gouging. From the tip of a #4 or #2 surgical round bur to where the tapered portion of the shaft meets the cylindrical portion is always 6.5 mm, making it a great depth gauge for locating the pulp chamber. I’ve perforated… Now what? Stop, take a vertical bitewing radiograph, and assess the damage. A great AAE resource to assess prognosis is https://www.aae.org/specialty/wp-cont... What’s the best material to repair a perforation? A bio ceramic is the best material. The key is: repair it fast, repair it well. Referral to an endodontist is highly recommended. Any further questions? Contact Dr. Dabuleanu at [email protected]. #endodontics #endodontist #rootcanaltreatment #canada #toronto