Radix Endomolaris
Harith Atef
Harith Atef is with HA Dental Center . • Radiographs • Take at least two periapical X-rays at different horizontal angulations (20–30° mesial and distal shift). • Look for a “double lamia dura” or unusual root outline on the distal side. • 𝗖𝗕𝗖𝗧 (if available) — best for 3D assessment of root number, curvature, and canal trajectory.⸻2. Access Cavity Modification • Standard triangular access often won’t reach RE. • Modify to a 𝘁𝗿𝗮𝗽𝗲𝘇𝗼𝗶𝗱𝗮𝗹 𝗼𝗿 𝗿𝗲𝗰𝘁𝗮𝗻𝗴𝘂𝗹𝗮𝗿 outline to extend toward the distolingual corner. • Maintain straight-line access to prevent file stress and ledge formation.⸻3. Locating the Canal • After deroofing, look for DL orifice: • Usually distolingual to the distal canal. • Use 𝗗𝗚𝟭𝟲 𝗲𝘅𝗽𝗹𝗼𝗿𝗲𝗿 𝘂𝗻𝗱𝗲𝗿 𝗵𝗶𝗴𝗵 𝗺𝗮𝗴𝗻𝗶𝗳𝗶𝗰𝗮𝘁𝗶𝗼𝗻. • Ultrasonic tips…
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