Two Canals in a Lower Premolar.
Morphology August 17th, 2007
They were really tight. Hopefully the tooth just has these two and no others that I wasn’t able to find.
Can life be a walk in the clouds?
They were really tight. Hopefully the tooth just has these two and no others that I wasn’t able to find.
August 19th, 2007 at 7:57 am
i just found two canals on a lower premolar that i’m in the middle of doing, #45. do you remember MC hammer and those pants he used to wear? big and puffy on top, then tappering into two skinny little legs? that’s what this configuration is like, lots of pulp tissue, too. i loaded them up with CaOH and i’m going to finish the case on tuesday. the tooth no longer hurts her and is functional, but she complains of “pressure” and “fullness”. do hear that complaint sometimes?
that should be in the official root canal configuration nomenclature. “blunderbuss apex”. “ribbon-shaped canals” “MC hammer-pants configuration”.
August 21st, 2007 at 4:14 pm
Pressure and fullness in the gums? How long after you worked on her did you check in on her?
August 22nd, 2007 at 6:57 am
she called on friday, three days after i opened up the tooth. she didn’t say anything about the gums, just “pressure in the tooth”. i finished the endo yesterday, and when i re-examined her before i started there was no swelling or fistula, she said the tooth was just “sore”. i didn’t prescribe abx because the tooth was vital, and i told her to take up to 3 OTC advil for the pain every 4-6 hours. the endo came out pretty well, fill looks good and i spent a good 45 minutes irrigating with NaOCl so the canal’s pretty clean.
i also suspected some dential hypersensitivity on the #44, as she has quite a bit of recession here, esp at the buccal. i diagnosed the #45 with irreversible pulpitis at the emergency visit because when i pulp tested it with the endo ice, she jumped out of the chair and the pain lingered for quite a while. i placed some gluma on the #44, hopefully she feels better soon.
any advice in general?
August 22nd, 2007 at 11:59 am
Sounds like the normal course of post-treatment inflammation.
Advice in general like: Use an umbrella in the rain? Or use Sensodyne for sensitive teeth?
Seriously, sounds like you’re doing what needs to be done…Now back to today’s patients. They’ve been a little weird today. And it’s not even a full moon yet.
August 22nd, 2007 at 11:13 pm
in my office’s neighborhood, every day is a full moon.