Patient had a preparation for an onlay and developed severe pain. She asked her sister who is a practicing dentist in New York if she could refer her to an endodontist (I don’t know why she did not go to her GP’s referred endo). Her sister called her classmate who happens to be a RD to me and that is I she landed in my office. Two appointments (first was on an emergency basis to get her out of pain). MB1 and MB2 met. All four canals were prepared to a 17/.04 VTaper file. Lots of calcifaction in the chamber as well as the canals.
Hi Dr Nishan, at what point do you routinely start removing the coronal pulp out and what do you use?, i prefer shaping the canals first and then going for the coronalpulp. Any recommendations or pointers that you can give me?
hello Reuben, I like to remove the coronal pulp first and then go into the canals. I use small endo spoons and explorers. I have recently started to use an instrument made by DenMat and it is a gutta percha removing instrument which has hooks on either end. I find that that instruments helps me get pulp tissue from underneath dentin which I have kept in place in order to remove less dentin. Hope this helps.
Thanks a lot Dr Nishan, will do a world of good to me. Will try it out 🙂
For outdoors gear – check out Gritr Outdoors
Maxillary second molars can have complex canal Sprunki systems, including an oblique canal that may not be readily visible on standard radiographs.
This scenario serves as a reminder of the potential risks associated with dental restorations like onlays. While they can provide excellent support for damaged teeth, complications such as tooth sensitivity or bacterial infections can arise post-operatively. It’s crucial for dental professionals to communicate these sprunki risks to patients and establish clear follow-up protocols to address any issues promptly.
It’s my pleasure to recommend to all of you an interesting musical game called Sprunki – the ultimate music game inspired by Incredibox. You can create your own beats, explore vibrant characters, and dive into engaging gameplay. Start your musical journey right now right here!
Tooth decay is a nightmare for many people, looking at these pictures I understand the pain it causes. run 3
Thanks for sharing, It’s really sprunki to me.
https://sprunkiphase4.net/ja/sprunki-phase-3.html
スプランキーはIncrediboxに着想を得て、音とリズムを自由に組み合わせ、無限の楽しさ。リンクでクリエイティブを体験！
Thank you for this insightful article! Your unique perspective and clear examples have truly transformed my understanding of the topic. The way you’ve broken down complex concepts makes them accessible without oversimplification. Looking forward to more of your thought-provoking work!
Try LogoMate – AI logo creation made simple.
sprunki phase 3 pull these teeth out of my jaw. it’s too painful.
https://imagestyleconvert.org/ “Want to transform your images with a fresh look? This site generates and reimagines visuals, letting you switch up styles effortlessly for creative and unique results!”
Thank you for bringing joy and support to me. Play block blast free.
https://flyer-design.org/ “Need a standout flyer fast? This site uses smart design tools to create eye-catching promotional flyers, making it a breeze for anyone to craft professional-looking marketing materials!”
This calcified MB2 case highlights VTaper 17/.04’s precision in negotiating complex anatomy, achieving immediate pain resolution through biomechanical debridement while demonstrating effective calcification management from pulp chamber to apex, game, metal
https://imagestyleconvert.org/ “Want to transform your images with a fresh look? This site generates and reimagines visuals, letting you switch up styles effortlessly for creative and unique results!”
Used to swear by mapquest for directions before smartphones. It’s not my go-to anymore, but it’s still useful if you don’t want to deal with tracking apps.
https://www.animestylegen.org/imageConvert “Ready to give your photos an anime makeover? This tool converts your images into vibrant anime-style art, inspired by masters like Miyazaki and Shinkai, with ease and flair!”
Wow, that’s a detailed case about root canal treatment! Glad the patient got relief from the pain. It’s interesting to see how different dentists approach removing coronal pulp.
https://rgbatohex.com/tools/hsl-to-hex
Wow, that’s a pretty intense root canal case! <a href=”https://games-hub.top/gameDetail/Free-The-Key” target=”_blank”>Glad the patient</a> got some relief. It’s interesting to see the different techniques dentists use to remove the coronal pulp too. Learned a lot!
https://games-hub.top/gameDetail/Free-The-Key
Wow, that’s a pretty intense root canal <a href=”https://penguindash.info/” target=”_blank”>case! Glad the patient got some</a> relief. It’s interesting to see the different techniques dentists use to remove the coronal pulp too. Learned a lot!
Wow, that’s a pretty intense root canal case! Glad the patient got some relief. It’s interesting to see the different techniques dentists use to remove the [coronal pulp too. Learned](https://penguindash.info/) a lot!
Wow, [this root canal](https://footballbros.site/) case sounds super complicated! Glad the doc could help the patient get rid of the pain. It’s cool to see the different approaches to handling those tricky canals.
Wow, what a tricky case! Glad the patient is feeling better now. It’s always interesting to see the different ways dentists handle these difficult root canals. Good information here! Grade Calculator
Wow, that’s a pretty detailed root [canal case! Glad the patient](https://footballbros.site/ got some relief. I found the discussion about coronal pulp removal techniques super interesting. So much to learn!
Wow, this is a pretty complex root canal case! Glad the patient got some relief. Interesting [to see the different approaches to](https://iwanttoloveyoutillyourdyingday.com/) coronal pulp removal. Definitely learned something new today!
This is a pretty interesting case(https://rooftopsnipers.space/) study on root canal treatment! Glad the patient finally got relief. Root canal treatments can be so [tricky. So much](https://funnyshooter2.best/) respect for endodontists!
Wow, that’s a detailed root canal case! Glad the patient got some relief. It’s interesting to see the different techniques dentists use and how AI image expansion tools could help with the diagnosis. Learned a lot!
Sounds like a really tough case, especially with the calcification and MB2 complexity. Appreciate the detail on the canal prep — it’s always helpful to read these breakdowns. On a totally different note, I recently came across this Roots Landscape Sweater and thought it had a sharp, classic style worth sharing.
This essay offers a viewpoint that allows us to view and evaluate reality. This article offers thorough information and is quite instructive Wacky flip.
Wow, that’s a pretty detailed case! It’s really interesting to see the challenges faced during the root canal and how the dentist addressed them. Glad the patient got relief! snowrider3d
Wow, that’s a tough case! Glad the patient finally got some relief from that pain. Root canals always seem so complicated, but it’s cool to see how the dentist solved the problem.escaperoad
Ah, the classic case of severe pain leading to an unexpected detour! Reminds me of when I had a toothache and ended up at a friend’s dental practice instead of my usual dentist—good times! If you’re looking for tools to better handle such emergencies, check out <a href=”https://dirs.cc/” target=”_blank”>Dirs.cc</a>.
Dealing with severe tooth pain after onlay prep can be a real ordeal. Glad to hear you found a solution! It’s interesting how referrals work, like navigating a tricky course in Snow Rider . Finding the right path (or in this case, the right endodontist) is key to overcoming the challenge. Sounds like you were in good hands to get out of pain.
Wow, that sounds like quite the tooth drama! But hey, if you ever need a break from dental tales, have you tried escaping into some awesome games? Check this out:Escape Road
I guess that sisterly referral turned out to be a real lifesaver! Now, if only we could find a way to escape from all the stress in life, maybe with a fun comic or two?Drunken My Boss
Root canal calcification is indeed tricky to deal with, and being able to successfully find MB2 shows that both the skills and patience are there. Humanize AI
Interesting to see different approaches to coronal pulp removal. I learned about PasjansPajak risk management when having dental restoration.
Thank you doctor for sharing the information. It must be very painful papaa’s games
Wow, an RCT on a second molar! Never thought about the specifics of getting an Olnay file in there. Is it always such a tight squeeze, or does it depend on the patient? Seems like a complex procedure. I remember struggling to fit a large crown prepped on a mandibular molar with severe distal inclination. Getting the impression material in was a true test of patience and dexterity, almost like navigating a difficult level in the Slope Game.
Dental cases like this always remind me how unpredictable treatments can become, especially when severe pain drives patients to seek quick help. I once had a toothache that escalated during a holiday, and finding an emergency dentist was a nightmare. Sharing this feels like Slither io, where sudden twists force you to adapt quickly or get knocked out of the game.
This case highlights the complexity and skill involved in endodontic treatments. Just like managing a life grid, every step and decision matters to achieve a successful outcome and restore comfort for the patient.
I played Rule34dle and found it surprisingly entertaining. The concept is unique, asking players to guess which tags are more popular. It’s quirky, challenging, and keeps you curious. Definitely not for everyone, but if you enjoy edgy games with a twist, it’s worth checking out.
This chaotic, addictive game, lets you collect quirky meme characters while defending them from thieves. The excitement of stealing and surviving keeps tension high. Fun, unpredictable, and sometimes frustrating, it’s perfect for players who enjoy risk, strategy, and wild online battles
This is a fun and engaging puzzle site that has recently gained popularity. The interface is simple, the gameplay is enjoyable, and it’s perfect for relaxing during a break. I recommend trying Royaldle if you enjoy word or guessing games. It’s easy to understand, quick to play, and definitely worth bookmarking for daily fun.
I recently tried Hunty Zombie — it delivers spooky thrills, vivid visuals, and heart-racing scenes. The pacing is excellent, keeping tension high. The sound design adds an extra layer of immersion. Perfect for horror fans who enjoy being terrified and intrigued in equal measure.
Maxillary second molars can present complex canal configurations, including an oblique canal that may not be easily detected on standard radiographs. For more insights, visit Sprunki.
https://empiresimulator.com/ – A geography simulator that models empire expansion through terrain cost systems, allowing players to draw nations and shape histories.<br>
I recently checked outLove Typeラブタイプ診断 — it delivers a gentle, engaging way to explore compatibility and personal traits. The flow is smooth, the visuals are soft and inviting, and the results feel both fun and relatable. A great choice if you enjoy interactive experiences with a romantic touch.
I recently checked out Raise Animals Script — the site is straightforward and focuses on delivering well-organized script resources for the game. It’s easy to browse, quick to navigate, and helpful for players who want a clear overview of different script options.
Test your royal knowledge with Royaldle the addictive daily game where you predict which monarchs and royals have more historical significance! Challenge yourself with 10 daily rounds or go infinite, compete with friends on global leaderboards, and discover fascinating trends in royal history. Perfect for casual history fans and dedicated monarchy enthusiasts alike. Play now and see how well you really know your favorite royals.
Test your fandom knowledge with Rule34dle – the addictive daily game where you predict which characters have more Rule 34 content! Challenge yourself with 10 daily rounds or go infinite, compete with friends on global leaderboards, and discover fascinating trends in Rule 34 culture. Perfect for casual fans and dedicated enthusiasts alike. Play now and see how well you really know your favorite characters.
Test your fandom knowledge with AO3dle – the addictive daily game where you predict which characters have more fanfiction on Archive of Our Own! Challenge yourself with 10 daily rounds or go infinite, compete with friends on global leaderboards, and discover fascinating trends in fanfiction culture. Perfect for casual fans and dedicated fandom enthusiasts alike. Play now and see how well you really know your favorite characters!
This article is really useful! Discover your love personality in minutes with Love Type 16 – a fun, multilingual quiz for deeper connections
I recently triedHubble Birthday — it transforms your birthday into a cosmic moment by showing the exact Hubble image captured on that date. The experience is smooth, visually striking, and surprisingly emotional. A must-try for anyone who enjoys astronomy or personalized space-themed content.
I recently visited The Forge Script — the site keeps its focus tight, offering a streamlined list of script functions without unnecessary clutter. Navigation is quick, descriptions are concise, and it’s easy to grasp what each tool is meant for at a glance.