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The opinions within this web page are not ours. Authors have been credited
for the individual posts where they are. Photos courtesy Ahmad Tehrani / Guy- ROOTS

From: Ahmad Tehrani
To: ROOTS
Sent: Wednesday, May 23, 2007 6:43 AM
Subject: [roots] Buildup after endo

here is a case where the deep caries didn't prevent me from placing a band 
and doing bonded core instead of amalgam. -  ahmad

Love it!! :-)))) - Marga Very nicely done, 1. I am happy to see I am not alone that in end of the treatment sees the rubber dam torn over the surrounding teeth :-) 2. What did you do to isolate the tooth on the distal, it's hard for me to see under the dam or is it something else ? 3. No bitewing after the treatment makes it hard to see if the fit of the bonded core is good. I am sure it's excellent - Thomas Here's a build up from yesterday. This was one of my Medicaid kids...nine years old and a real trooper. Three hours. Second molar was in but poor root formation at this time...he was two months from ten yo. I was afraid to clamp the second...might move it. The string in the picture is to stanch hemorrhage from deep clamp penetration on the lingual of 19. Frequent bathroom breaks required Jerry rigging and a lot of reclamping. On these kids, we keep a gun of Pentron Quick bite material at hand and a cotton pellet in CHX. If we hit an emergency with the kid and the dam has to come off, the pellet goes in and I squirt in a dollop of Quick bite and wipe it off with my finger. Seals like a champ as long as you have bleach or CHX in the canals. I know most of you would extract the tooth before treating it this way but this is a nine year old kid and this is his only real dental problem. This is Pentron Clinical's new Artiste esthetic set up with really neat opaque shades. No opaquer was needed to block out the purple flowable. The purple color was transmitted up the post but did not show through the material...made the post look metal. I sandblast these posts lightly and bond to them. This is a #1 Unicore and this will possibly be the retaining restoration until we can get him a crown. These Medicaid kids are not dependable shows. Not an ideal treat but I think a service to the child. It costs them nothing but a bit of time. The state will not pay for molar endo. Can you believe that. Backwards mentality. Guy

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