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Very difficult lower 6
16 May 2013

Pre op

Patient referred in for RCT 46.
Diagnosis periapical periodontitis 46.
Problems here are-
1. Very long root length.
2. Distal root curvature at apex- possible double curvature.

Important here to avoid ledging of the canals and get irrigant to working length.

Protocol was as follows
Scouting canals with C pilot files 06 WITH LOTS OF HYPOCHLORITE
Protaper SX used to open canal orifaces.
C pilot files 06 08 10 taken to working length.
Pathfiles No 1,2 and 3 taken to length.
Protaper next X1 and X2 taken to length.

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Post op
C pilot file showing double curvature of distal root.