3yr recall of a cracked #36 with fracture extending into the ML root. When the peri-apex looks clean i sometimes don’t hesitate considering an endo. Of course with an informed consent about the doubtful prognosis. A post was cemented in the involved root for some added re-enforcement.
This is a case I treated 1 year ago. It was a “thru and thru”, so I was really not sure how successful treatment would be. I started with non-surgical endodontics, two visits with CaOH. Pt still returned about 6 weeks later with another buccal swelling. I completed the RCT then and started the decompression […]
Patient reported with pain and swelling in association with #4, Patient was pregnant at the time, treatment was initiated and then long term CaOH2 was placed. MTA truck was downloaded into this blunderbuss anatomy. Vitamin P deficiency ( P*- PCD) – I think I might have contributed to some of it. I had concerns about […]
42 yom. Symptomatic Partially Vital Pulp. No response to cold. Upon access, I observed hyperemic tissue in MB1 and partially vital tissue in the rest of the canals. 2-1-2 MB root system. 1 visit. Asymptomatic and functional at the follow-up visit.
Patient presented with a sinus tract -buccal of tooth # 8 History of initial root canal 36 years prior and PA surgery with MTA fill and without retreatment by an endodontist 5 years prior. Orthograde Retreatment – removing the hardware: pre-fab metal post, gp, MTA and software – cotton fibers, Placed white MTA apical plug […]
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
– Pt age 13yrs old then – IOPA revealed a taurodontic anatomy and a PA lesion in relation to the palatal root. – On access the floor was completely calcified and appeared bleached and ovoid. Managed to localize all canals which were in eccentric locations – I noticed that I had pushed GP outside the […]
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 […]