4 mo biofilm on a canal wall gbc

My hat is off to Dr. Ho and Dr. Dale who are doing this really well. Myself? Not too great….but I will get better….. There was caries under the DO on #13. So I tried a Clark Class 2, injected molded restoration. Took 2 hrs! I just can’t imagine doing this without a scope. Or […]

I posted this last month after the consult. There was mixed TDO advice—some said “do it” and others said monitor. Reluctantly, I did it Monday. I couldn’t really address the ECIR that was sub-osseous without removing way too much bone. I just hit it with the Pear Diamond as well as I could. Time will […]

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, […]