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roots - international magazine of endodontology No. 3, 2016

canal preparation case report | 25 roots 3 2016 tantqualitythroughoutthiscase(Fig.14). ThecanalwasirrigatedwithNaOCl,dried, calcium hydroxide applied, and sealed withaprovisionalrestoration.Toalleviate vestibular swelling incision and drainage was performed. Three weeks later the patient returned forherfollow-upvisit.TheswellingandI& Dsitehadfullyresolved.Therootcanalsys- temwasirrigated,obturated,andsealedas describedinthepreviuoscasesandthepa- tientwasreferredbacktohergeneralprac- titioner(Fig.15).WiththeaidoftheHyFlex EDM files we were able to complete the entiretreatmentusingonlytworotaryin- struments. With this effective system we wereabletostayconservativecoronallyyet enlargeapically.Withtherightequipment both root canal specialists and general practitionerscancreateconvincingresults in a short period of time, without making anyconcessionstothenaturalanatomyof the root canal. Summary Modular designed NiTi systems demonstrate their full versatility in root canal profiles that are difficult toaccessorhaveanunusuallyabruptcurvature.Flex- iblefilesliketheHyFlexEDMorHyFlexCMcanbepre- bent, which helps dentists to operate both confi- dentlyandsafely,evenunderchallengingconditions. Depending on the clinical situation endo-specialists can choose between fast instrumentation with only afewfilesorhigh-precisionshapingofthecanalwith a clever combination of a more refined file sequence. Thanks to their intuitive way of handling even new- comers to endodontics can achieve reliable results in next to no time – with an astonishing ‘distal effect’._ contact DrSamAlborzcompleted dentalschoolattheUniversityof TexasHealthScienceCenterin SanAntonio,graduatingwith highesthonors(MagnaCum Laude).Hethenworkedasa generaldentistbeforeentering theEndodonticresidency programatBostonUniversity. Hehasgivennumerouspresentationsbothnationallyand internationallyandiscurrentlyinprivatepracticein Knoxville,Tennessee.DrAlborzisamemberofthe AmericanAssociationofEndodontists,AmericanDental Association,TennesseeDentalAssociation,Second DistrictDentalSocietyandBlountCountyDentalSociety. Dr SamAlborz,DDS 109 Land Oak Road Knoxville,TN 37922 alborzdds@hotmail.com www.tnmicroendo.com Case 3 (Figs.12–15) Fig.12: Initial situation. Fig.13: HyFlex EDM File 60/.02. Fig.14: Pre-bent EDM File 60/.02 entering the canal. Fig.15: Post-op situation. Fig.12 Fig.15 Fig.14 Fig.13 32016

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