As I learned on Roots from my coleagues. “Follow the MAP!

”
www.rxroots.com

Middle mesial from Brasil

Márcia Valéria Boussada Vieira to

 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?

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?

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
Monday, February 27, 2006 2:18 PM
Fred Barnett

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.
“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)

Terry Pannkuk ‘s contribution

Monday, February 27, 2006 10:31 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.
sashi nallapati
NSU endo, FL