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Tuesday, March 6, 2012

Episode 307/500: Endodontic Shift Shot


SLOB


It seems so easy to do. Just angle the xray head a little mesial and or distal and bam - there's your shift.  Oh really?


How many times have I had difficulty in getting a clear shift? Often enough. I am no means an expert in clinical radiography techniques and look to experts when in time of need.


I needed


He responded.  He = our resident endodontic mentor, Dr. "no refined carbs for 30 days"


I was having difficulty in obtaining a clear shift shot and he suggested using a hedstrom file in one of the canals to aid in determining which canal was what.


No way.


Yes way - it's that simple.  No bending the file, moving the stopper, etc to change the appearance of one.  It worked and I was able to confirm WL before initiating cleaning and shaping (rotary endodontics).


Cheers


Ashley






k file, endo file, endodontic file, hedstrom, dental radiograph, k file radiograph
Pretend this is a bicuspid w/ a palatal and facial canal


k file, endo file, endodontic file, hedstrom, dental radiograph, k file radiograph
There's my shift, but sometimes, I have difficulty determining one
canal from the other (ie which canal is which?)

k file, endo file, endodontic file, hedstrom, dental radiograph, k file radiograph
Change one out for a different file (hedstrom)
and life is zenlike perhaps?

k file, endo file, endodontic file, hedstrom, dental radiograph, k file radiograph
A simple radiographic comparison (Kfile vs Hedstrom)


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