GTX ou GT#?

RPCendo The root Canal Paradise 19

Paciente com periodontite apical assintomática no 4.6. Sondagem normal, apesar da imagem ligeiramente em J. O dente vinha já com uma restauração pré-endo, que tinha sido feita pelo generalista.

Depois de negociar com 10k e 15k, e de ter criado acesso recto ao 1/3 apical, iniciei instrumentação com ProTaper S1, S2, F1 e F2. Como o calibre apical era superior a 25, e não quis passar a F3, por sentir já com a F2 alguma dificuldade na progressão, resolvi passar a GTX. Iniciei com uma 30.08, que instrumentou o ML bem, aida que com alguma dificuldade em progredir e quando passei ao MV… acidente… 6mm de GTX no canal ML, impossível de remover ou fazer bypass.

Salvo pelo facto dos canais M’s serem confluentes. Obturei com System B e Obtura II. Durante a obturação, pude inclusivamente ver, com o microscópio, algum cimento a fluir do canal ML para o MV, durante o down-pack do ML.

Um acidente que por sorte não terá possivelmente consequencias clínicas, mas um alerta para futuras endos.

Moral da história: Devia ter passado uma GTX 30.06 e não uma 30.08 directamente. Elas são boas e o m-wire é que está a dar, mas abusando, elas fracturam como as outras…

19 thoughts on “GTX ou GT#?

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