hello everyone and welcome back to the 14th episode of the Diary of an endodontist and today we'll be talking about Lal canals is one of my favorite topics so stay with [Music] me this patient was referred to me and when you see the X-ray you probably say oh it doesn't look too difficult you can see that it's probably there there is hypercementosis or perhaps it's just the root configuration but overall you don't expect this truth to be too difficult however when I went inside the first thing was was so hard to find the canals it
was quite calcified difficult to find it once I found it I started to navigate into the canals and it was very very tricky apically I couldn't really tell where I was it was like sometimes I was going in One Direction sometimes I was going another Direction so when we are in the donst and we do quite a lot our third eye is our hands so when you are that's what I consider when we we are filing the tooth that's when you can see and like how the the anatomy of the canal is so of course
we use the CBC as well to help but very thin canals we cannot see so if the lateral Canal is a large lateral Canal you will be able to see on a good quality cbct but if it's like very thin Canal sometimes you cannot see it and that's how it's tricky because what you need to rely on is to the fact that you can't let your Canal you come block your Canal your Canal is very thin you need to precurve the the files old the time and use lots of irrigant if you follow those principles
it's quite likely that you have a good result but if you miss a step you will end up blocking uh ledging fracturing a file and things like that so be very careful a root canal treatment are consider like a danger so you need to follow all the steps for that danger to fit if you don't follow it you will end up having trouble and it's difficult to catch up later on so in this case that is why I find it tricky although I loved this case when I was treating it but it was quite tricky
to negotiate all the files were coming out like bent and all damaged because it was too difficult to negotiate I'm certain that I that I haven't negotiated all the lateral canals it was down to the irrigant so if you do the irrigation properly then the sealer if it's a good sealer with a good uh flow you will be able to see once you obate you will be able to see those lateral canals filled so it's quite tricky but if you don't seal that properly if you don't first of all disinfect it properly then that Peri
corul lucency may not disappear it may be that you have residual bacteria and that will persist with infection and symtoms with the patient of the patient but if you do it properly then uh as you can see here I've enlarged a bit more because I I was having trouble going apically so I had to enlarge a little bit more in the middle of the root which I don't like because you can have root fenestration so I don't like to enlar large too much but I was really struggling for my canals to go in the direction
I wanted it to go but as I said if you follow all the principles follow it properly then six Monon review you start to see healing and a good quality uh obturation sealer material it will stay in those lateral canals because if you use something soluble that will disappear and then will leave avoid and is likely for you to have problems in future but good quality you take X-rays and you will see that sealing the canal properly so I hope you have enjoyed those tips and although it seems easy sometimes with the root canal treatments
and it seems quite obvious to follow those tips and tricks but you will see that in some cases you need to remember that because if you are in the early stage and you don't remember those things you think the canal is easy and you start doing the canal and then you you can't understand why it failed or why you had too much trouble while you ledged and blocked and fractured files so pay attention on those cases and good luck with all of your cases and if there is anything I can help you with please put
in the comments below thank you very much and you take care [Music]
