Middle mesial canals.

Treatment

• Removal of crown
• Rubber dam isolation
• Pre endo built up in composite
• Removal of gp points by R-Endo by micromega
• Search for middle mesial canal(mm)
• Where and how to search for middle mesial canals;
• Mm is present in the isthumus between the mesiobuccal and mesiolingual canals more towards the mesiolingual.
• Troughing of the isthmus between mb and ml with
• Scaler tip
• Endo guide bur
• Dg 16 probe
• Magnification
• Irrigation to remove the dentinal shavings

At times the mm meets one of the two canals or both the canals at a point near or above the apex. Prepare only till that point to avoid weakening of tooth structure. Preparation of all canals with TF Apical diameter: mesials-30 distal-35 Irrigation: 5% warm sodium hypochlorite MDA Calcium hydroxide dressing for 10 days Obturation: lateral condensation

DISCLAIMER : “Views expressed above are the author's own.”

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