limited mouth opening

[docyogeshr@gmail.com]

hi im post graduate student in endodontics…
i think best way to treat such case is by gaining access to chamber through bucco-occlusal direction in which u can place head of handpiece in buccal vestibule or oral cavity if palatoocclusal direction is selected. For which a thorough radiographic examination required, if u find MB & DB canals more buccal side u can also explore them at the cervical level of tooth…

        

[Anonymous]

docyogeshr@gmail.com wrote:

hi im post graduate student in endodontics…
i think best way to treat such case is by gaining access to chamber through bucco-occlusal direction in which u can place head of handpiece in buccal vestibule or oral cavity if palatoocclusal direction is selected. For which a thorough radiographic examination required, if u find MB & DB canals more buccal side u can also explore them at the cervical level of tooth…

thats a great idea.
perhaps u can use a pedo handpiece as it is small to gain access.

once for such a case I used a straight air motor handpiece with surgical bur to clean the caries and get access to the canal.

however the original poster proceed ahead with it only if you are sure that you would be able to do crown cutting.

regards,

veeren

        

[Anonymous]

Thank You for giving a really useful method

        

[docyogeshr@gmail.com]

if you are getting access through the mentioned approach, let me remind you should use 15-20 no. Ni-Ti files or precurve SS files to make the canals patent… then try to flare rc orifices and then proceed for shaping n cleaning using crown down or step back whichever u prefer …

        

[Anonymous]

after u get access you may take a scissors and cut the endo instruments so that it becomes easier to do biomech. it will add to the cost altho. A floss must be tied to all instruments as the chances of the patient swallowing the instrument are high.

veeren

        

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