Consult today. Prior attempted treatment by an endodontist last week. gbc
Retreatment recall today. Ugh…. Asymptomatic and functional….but for how long? gbc
Older TDO’ers may remember this case that Rick sent me in 2012 from a surgery he did.. There was some bacterial morphotypes seen along the canal wall, but not very much. But on the outer root surface there was a lot of inflammation and a fungal stain suggests why…. gbc
I took John’s root tip he sent me and processed it as follows: 1. Decalcified the root in EDTA for 1 week then some Decal overnight (Formic aa) 2. Mounted in parrafin for standad H&E staining. 3. Sectioned the tooth axially every 100 microns until exhaustion. 4. Every 100 microns an H&E stain was done, […]
A bench test to see the GW effect on a case with a fractured instrument. Fuller discussion on TDO-Clinical.
Patient in for a sinus tract check recall today asking questions…… All treatment done by endodontists. Always done in a single visit. The 2nd endodontist told the patient she was “cured”. He never checked her again. When she called and said she may have a problem… they told her it wasn’t necessary. Her GP told […]
I did this RCT 34 years ago when the patient was 14. Now there is a parulis and lingual palpation sensitivity. Extract or treat? Patient has a very high smile line, thin biotype, is sensitive to costs. gbc
One doesn’t know if the canal wall contains “new” organisms subsequent to the fracture or “old” organisms never removed. My guess? Old organisms.