Page 20 - The Beauty and Sorrow in Endodontics (WL and C/S)
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through the use of a 3D image, however, it is overkill to take a CBCT just to check
obturation. Thirty years ago, Boston University grad students were taught to use paper
point tests (see “Warm Vertical Obturation Technique” and/or “Summary of Schilderian
Techniques”) to determine the fWL. To this date, the author still checks the wet-dry
intersected point and adjusts the master cone accordingly prior to down-pack.
Additionally, a radiograph should be taken after the plugger has reached the targeted
depth (5-7mm from fWL) to determine if more down-packing is required, or if one can
proceed to back-filling. If a post is to be placed in the canal, only down-packing of the
GP is required to ensure a tight apical seal at the fWL without any need for back-fill
afterwards.
Dr. Schilder’s Remark:
Time in endodontics is the biggest enemy.
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