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Tremendous loss of tooth structure - Courtesy ROOTS

The opinions and photographs within this web page are not ours. Authors have been credited
for the individual posts where they are -
From: Rajiv Patel
Sent: Sunday, August 30, 2009 6:58 AM
Subject: [roots] Re-treatment works but..

Re-treatment works.....but still no new crown))):

How long will this last?  Radiographic Healing in progress - atleast in the short term?

Tremendous loss of tooth structure as evident on the radiographs and the distal margin
resting on filling material.

Patient intended to save tooth and was reminded at obturation /BU appointment to get a 
new crown ASAP.

Was this poor case selection.....should have replaced the metallic carriers with 
Tincture of TITANIUM. How much control do we really have over the endodontic destiny 
of these cases? - Rajiv Patel

Very impressive healing Rajiv - Simon Bender

Thanks Simon. My patient rocks! - Rajiv

So someone found the MB2 in the first molar and filled it with metal carriers? 
I recently did a retreat and had to remove a plastic carrier from the MB2---usually 
the carrier based obturation cases I see appear to have been done rather hurriedly, 
so the MB2's are not addressed. Nice result Rajiv! - Kendel

Thanks Kendel. What was the potential cause for re-treat in your case in spite of 
having the MB2? I think somewhere down the line... we all focus too much on 'white lines"

And go figure in my patient's case - the first molar seems to working allright so far.....(:

We are fortunate that most of our patient's are healthy and can co-exist in some 
sort of equilibrium - host vs micro-organisms. Just more things to think of ....ha? - Rajiv

If I remember correctly it was like most of my retreatment cases------a restorative 
deficiency labeled as a "failing root canal" - Kendel
Toughest root canal
Retricted mouth opening
Deep decay
Upper second molar
Open sinus lift
Implant after extraction
Implant # 20
Implant # 30
Irreversible pulpitis
2 step necrotic case

Lesion on MB
Endo perio case
Surgery or implant
Silver point removal

Series of cases
SS reamers and files
Single visit RCT
Ortho resorption
Apico retreatment
Apical perforation
Funky canine
Crown preparation
Two tough molars
Epiphany recall

To squirt or not
Core distal end
MTA miracles
Pain with LR
Instrument removal

3 canals upper Bi
Acute pain
Dental decay
Calcified chamber
Mandibular first molar
Ultrasonic activation
TF and patency
Interim dressing
Huge lesion

Tough distal canal
Debris in pulp chamber
Access and success
Restricted mouth opening
Broken drill fragment

MB2 or lateral
Gutta percha cases
Another calcified
Big Perf
Canals and exit
Dam abuse
Amalgam replacement
Simple MTA case
MTA barrier
Restoration with simile

Immediate implant
Traumatic accident
Lesion on D root
Extract / Implant
Carious exposure