Monday, February 27, :31 AM From Dr. Keneth Serota...axial dentin has a different chromatic (colour) tone than dentin and orifices that are present within the root trunk.....that dentin is much darker and just keeping it wet magnifies the chromatic distinction Fred's point about troughing the line in conjunction with any combination of NaOCl, etch and a DG 16 endo explorer can assist one in finding the middle mesial canal access openings that truly allow light in, beveled cavo surface line angles obviate shadowing in the same way they enhance optics for photography each root canal system has a distinct anatomy, however, the map of the floor, the chromatic topographical outline is always in evidence regardless of the magnification or ocular apparatus.

Middle Mesials: Connect the dots Trough the Line NO MM’s

On 2/26/06 Ahmad Tehrani Is there anything that alerts you to look for MM other than troughing? Is there anything that alerts you to look for MM other than troughing? Should we take in to consideration, how far apart the MB & ML canals are for instance? Should we take in to consideration, how far apart the MB & ML canals are for instance? Is this anatomy discernable on the pre op x-ray? wire film? post op? Is this anatomy discernable on the pre op x-ray? wire film? post op? How would you recommend filing this canal so it doesn't get blocked or ledged? How would you recommend filing this canal so it doesn't get blocked or ledged?

On 02/27/06 Fred Barnett I connect the dots and trough a few mm's on every case. On the angled pre-ops, if the mesial root looks especially wide, I may be a bit more aggressive....but I always stay on the line and I am always cognizant of the furca. When you look at Hess's work from 1928, I am humbled by the simple white lines that appear on my post-op radiographs.

Hess's work from 1928

A strategy on creating pathways to the canals is required in order to debride and disifect them. A strategy on creating pathways to the canals is required in order to debride and disifect them. Proper magnification and illumination to see the subtle color changes of the "Road Map" is mandatory. Proper magnification and illumination to see the subtle color changes of the "Road Map" is mandatory. Monday, February 27, :18 PM Fred Barnett

Terry Pannkuk ‘s contribution “Anatomy can be wild but even the wildest can be overcome with an understanding of shape, access, and development of a thoughtful strategy that allows debridement and obturation of the clinically significant space leaving only the most minute entombed crypts remaining and unlikely to cause recurrent pathosis. “ (T. Pannkuk, 2006; ROOTS)

Iwould add that using an etchant on one of the little round microbrushes helps remove the smear layer and makes the "grain" or calcification patterns of the dentin stand out more. I would add that using an etchant on one of the little round microbrushes helps remove the smear layer and makes the "grain" or calcification patterns of the dentin stand out more. Put a little etchant on the microbrush and scrub around the chamber for 20-30s and rinse thoroughly and dry with a Stropko irrigator to help locate additional landmarks on the walls and floor of the chamber. Put a little etchant on the microbrush and scrub around the chamber for 20-30s and rinse thoroughly and dry with a Stropko irrigator to help locate additional landmarks on the walls and floor of the chamber. Monday, February 27, :54 PM Randy Hedrick contribution:

Thursday, March 02, :57 AM vijayalakshmi girish kumar Can I suggest another way to do what Randy has suggested? using ultrasonics to clean the access cavity after doing all the troughing, will do the same thing as etching the cavity.

sashi nallapati NSU endo, FL

Saturday, February 04, :41 PM Rajiv Patel Just another Middle Mesial

Rajiv Patel

Clinical case from Márcia Valéria Boussada Vieira to As I learned on Roots from my coleagues. “Follow the MAP!” Middle mesial from Brasil