One doesn’t know if the canal wall contains “new” organisms subsequent to the fracture or “old” organisms never removed. My guess? Old organisms.
Again…a sampling fromn the cemental root surface. The Endodontic Triad people just can’t seem to figure this one out. Perhaps “They’re not interested in these cases”……where have we heard THAT before? gbc
Very compliant patient—always made his recalls. Tooth has been asymptomatic for 15 years…and the periapical area had cleared—-now tender to biting and patient has an ache….No evidence of any occlusal issues. Will start the retreatment…again. Ugh….. gbc
We actually don’t know why cases are successful. We don’t know what is suffiencient and necessary for disease to occur. We appear to know that microorganisms are necessary, but unless you know both what is suffiecient AND necessary, you can’t possibly claim you know what causes a disease or claim you know what cures a […]
The patient is now 89. Looks like it’s time to do a root resection.
If you ever get an opportunity to work with Tucker gold people, take it….because they do dentistry that lasts a lifetime. This is some work from Phil Timmins, a Tucker gold guy.
When there is no furcal involvment, these seem to work out OK if the perio heals well.
When a biofilm attaches to root cementum, it can undergo a calcification process very similar to what occurs with a Sialolith. A Sialolith is a calcified biofilm. These accretions are calcified biofilms. They’re calcified masses of microorganisms. On TDO, we have looked carefully over the years at these root accretions because they play a role […]