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Photos courtesy Ahmad Tehrani / Guy- ROOTS
From: Ahmad Tehrani
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
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