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 Web discussions - 28 topics

  1 Retreatment
  2 Hot tooth experience
  3 Extra root?
  4 Check the Teeth to prevent heart attack.., a Joke?.
  5 Tooth eruption at 45!
  6 Is it a good idea to apply clove oil
  7 fluoride & lead study
  8 Class III - Skeletal change after treatment
  9 Don't ignore the possibilities of early class III intervention...updated!
10 bond failure of Promt-L-pop
11 lingual orthodontics
12 Fellowship Surgical/Orthodontics NYU Medical Center
13 3rd's transplant
14 Rooth Resorption - a question...
15 Pain with Cold
16 cleaning and shaping canals
17 Periostat - web discussion
18 which antibiotic do you use at akut cases or flare up?
19 peripheral neuropathy
20 Healing time for sinus exposure
21 Second molar extraction
22 Nickel Allergies
23 Flare up after the best treatment
24 Anesthesia problems
25 MTA carrier and surgery
26 Repair of cracks
27 Interappointment medicaments
28 Bleeding on Scaling
29 Hypochlorite question

Retreatment Examination of the preop radiographic image clearly indicated that retreatment was the recommended course of action. (click the title for more details & X-Rays)
Hot tooth experience Upper 2nd bicuspid. Very hot pulp-administered infra-orbital, infiltration, intra-lig injection. Still couldn't touch the tooth. Gave a 2nd division block going up the greater palatine, and bingo-profound anesthesia! (click the title for more details & X-Rays)
Extra root? 2nd premolar. What's that on the distal? At first, I thought it may be another root, but I could never find an orifice....(click the title for more details & X-Rays)
I'm going to have heart disease because my teeth are bad. I need to CHECK THE TEETH. This is just a big joke, right? Yes! someone CAN have a heart attack from the teeth, you are Right about that but... It is NOT from the mercury, it is from the whole bunch of bacterias that they have in their gums that are inflammated so they are bleeding and then bacterihemia occurs (bugs in the bloodstream), they are transported to different organs among:..... click the title for more details..
Tooth eruption at 45! I am male, 45 years old and have had no fillings, crowns, pulled teeth or any other dental work. But my backmost top and bottom wisdom teeth never erupted on the right side; until now. Now the bottom tooth has mostly erupted causing minor pain for the last 2 - 3 days. Cick title for more details....
Clove Oil From: G-H (1@scotlife.freeserve.co.uk) Subject: Clove Oil? Date: 2001-03-16 13:40:12 PST Sorry if this is a basic topic for this newsgroup - I have today had a wisdom tooth removed and would like to know whether it's a good idea to apply Clove Oil to the side of the gum when it becomes sore. Many thanks. -Joanne From: Wayne (waynelonsdale@sprint.ca) Subject: Re: Clove Oil? Date: 2001-03-16 14:13:53 PST Don't know about the oil, but I was advised to use a damp, slightly warm teabag. What you want to do is numb the area but don't have it too cold. I found the teabag helped me. Cheers. - Wayne From: G-H (1@scotlife.freeserve.co.uk) Subject: Re: Clove Oil? Date: 2001-03-17 07:06:09 PST Nope! Too Strong.... Oil of cloves (eugenol) is good for soothing the living nerve of a decayed tooth. It works by counter-irritation theory. Thanks very much for the advice. - Joanne.
flouride and lead issue Of course, the major source of lead in drinking water is at the user end ie. lead soldering in plumbing. Anyone concerned about lead levels should get their water tested...
Orthodontics From: Doug Depew Sent: Wednesday, March 21, 2001 07 18 8 Class III - Skeletal change after treatment Looking for comments from the group. 16 year old male patient. One year out of treatment. Shows up for "retainer check" with an edge to edge anterior bite and slight posterior openbite. Pre-treatment he was NOT Class III although his mother says an Uncle is Class III. Took study models. Hand-holding models interdigitate into a perfect Class I bite as they did when finished treatment. Class III elastics were not used or needed during treatment. Obviously we have some Class III post treatment growth....... (Click on title for more details....)
Bond failure of Promt-L-pop From: Sent: Wednesday, March 28, 2001 18 12 I have recently switched to the Unitek (ESPE) etch and primer product, Prompt-L-pop for use in bonding cases. I use it for full bonding cases and not for isolated loose brackets. My staff and I have noticed a greater number of bracket failures in the first month (usually the first week) post-bonding. I have enjoyed the ease of use and lack of bitter taste for the patient compared to conventional etching followed by placement of primer. I have not enjoyed the increased number of loose brackets in the first couple of days. Have others experienced this problem? Any fixes? Thanks, John Christensen Durham, NC
From: Vaughn Johnson Sent: Saturday, March 31, 2001 11 56 John We've used the product on full-bondings for the past 4 months. We track bond failures and have noticed a slight decrease in failures within the first 24 hours. Thereafter, failure rate is similar to before. I've gone to reapplying the primer/etchant for longer than the recommended time (I average 10+seconds) and reapplying to each tooth after redipping into the well. I love the dry-field which remains dry since no rinsing is required and patients can't taste the etchant. We have had a couple of patients with ulcerations of the attached gingiva adjacent to our bonding area where I have been overly generous with the liquid. This probably also occured with the "old" etchant method, but I didn't notice it since we rinsed quickly after application. Just my experience Vaughn Johnson Durango, CO
From: I Gillis Sent: Sunday, April 01, 2001 04 26 Subject:bond failure of Promt-L-pop I too enjoyed the advantages of this new product, however had significantly more lose brackets in the first week post-bonding. I called the Unitek rep who suggested I hadn't applied the material in a circular motion for at least 3 seconds. I have gone back to the traditional etch, bond, cure. no short cuts! and the bond failures have also gone back to their traditional number. Immanuel Gillis Jerusalem, Israel
From: Paul M. Thomas To: I Gillis ; orthod-l@usc.edu Sent: Wednesday, April 04, 2001 16 14 Subject: Re: bond failure of Promt-L-pop This has *not* been my experience. To this point I've experienced very few failures and have cut bonding time at least in half. I'm using the Transbond LR in conjunction with these new gadgets. -=Paul=- Paul M. Thomas
From: Dr. B.L. Vendittelli Sent: Thursday, March 29, 2001 03 20 Subject: lingual orthodontics I have recently implemented the use of Lingual Orthodontics into my practice. So far it's been really fun and progressing well. Soon I will start my first extraction case (Class I crowded). If this were a traditional case, I would certainly take out all four second bicuspids to minimize the amount of anterior retraction. I don't see any reason why not to do this with lingual appliances, however, I wanted to be absolutely sure. Any comments? Bruno L. Vendittelli Toronto, Canada
From: Barry H. Grayson Sent: Thursday, March 29, 2001 07 43 Subject: Fellowship Surgical/Orthodontics NYU Medical Center Surgical / Orthodontic Fellowship at the Institute of Reconstructive Plastic Surgery New York University Medical Center Applications are being accepted now for the 2001-2002 Fellowship Program (June 15th 2001 - July 1, 2002) ______________________________________________________________________________ Program Description: This fellowship program provides a broad clinical experience in the pre and post surgical orthodontic management of patients undergoing craniofacial and orthognathic surgery.The twelve month hospital based clinical program exposes the trainee to advanced techniques for the evaluation and surgical/orthodontic correction of craniofacial and orthognathic deformities. The fellow will gain hands on experience in the following areas: 1. 3D Computer graphic planning. 2. Pre and post surgical orthodontic treatment. 3. Surgical splint design and fabrication. 4. Operating room experience with splint insertion and fixation techniques. 5. Construction and management of presurgical orthopedic devices for the rehabilitation of infants with clefts of the lip and palate. 6. Supervised clinical and laboratory research. 7. Distraction Osteogenesis, planning and pre/post distraction care 8. Participation on a Craniofacial Anomalies treatment team. 9. Participation on a Cleft Palate Treatment team. 10. Attendance at academic lectures, seminars, conferences in the Department, Hospital and Medical Center Community. Application Process: Contact Dr. Barry H. Grayson Tel. 212 263 5206 or Fax 212 263 6002 E-mail
3rd's transplant Subject: 3rd's transplant I don't want to leave this subject with a misunderstanding hanging. I don't have the reference handy right now, but my research on the subject through PubMed (see my prior message in Digest 768) revealed a study that showed in a reasonable sample of such cases (transplantation of a third molar into a first molar site) the life expectancy of the transplanted tooth is 6 years. About 25% of the sample made it as far as 5 years, and all had failed by 6 years. Since the prognosis of titanium implants is much longer than that (I think), the better approach is to discard the third molar and use an implant in the first molar site. I'll try to find the reference in PubMed again. - Stan Sokolow From: "q" Sent: Sunday, March 18, 2001 10:12 PM Subject: 3rd's transplant Well You need more data. You never know what happened to these teeth. Maybe They all decayed from negelect. The problem with implants is that the fat wide body implant is a poor substitue for length. Prognosis on implants is good with 10mm and longer implants. The IA nerve precudes many implants in the 1st molar region. -carl From: Paul M. Thomas Sent: Thursday, March 22, 2001 21 26 Subject: Re: 3rd's transplant Carl (carl) You are partially correct re: the implant thing...however.....wide body implants *do* help make up for length within reason, provided they are not too wide. Some of the 6 and 7mm implants have created problems with bone loss/necrosis. This is probably a combination of too many RPMs and too little cancellous bone remaining. As in any other area of dentistry, careful diagnosis helps. Unless there is significant atrophy, first molar implants are not a problem. Even with atrophy, it is usually more facial which allows the use of GBR techniques to add bulk to the facial. Given the choice of a third molar transplant or molar implant, there is no doubt in my mind that I would take the implant. Much more predictable outcome. Paul M. Thomas, DMD, MS Adjunct Associate Professor Departments of Orthodontics and Oral and Maxillofacial Surgery UNC School of Dentistry Manning Drive Chapel Hill, NC 27514
From: studio bazzucchi Sent: Thursday, March 22, 2001 21 54 Subject: ROOTH RESORPTION HY I HAVE A QUESTION REGARDING ROOTH RESORPTION. INFACT THIS YEAR HAPPEN TO ME THAT TWO CASES HAD A SERIOIUS ROOTH RESORPTION OF THE UPPER CENTRAL INCISORS. IN THE FIRST CASE I DID A VARY SLIGHT MOVEMENT OF THE TWO CENTRAL THAT I WAS REALLY SURPRISE TO SE SUCH A RESORPTION. INSTEAD IN THE SECOND CASE WAS A CLASS II WITH A DEP BITE OF 5 mm. and at the end of the two years of treatment WITH THE STRAIGHT WIRE TECNIQUE USING LIGHT WIRE I found the resorption. DO YOU HAVE ANY SUGGESTIONS ON HOW TO PREVENT THIS FROM HAPPENING, OR ANY OTHER SUGGESTIONS FROM A CLINICAL STAND POINT. I WAS REALLY DEPRESS FROM THIS, FROM A PROFESSIONAL POINT OF VIEW. THANK YOU ZANNI
Pain with Cold From: "Murat AYDIN" Sent: Wednesday, March 28, 2001 11:51 AM Subject:Pain with cold Im confused. 67 yo lady complains a pain with cold. Her lower third molar was already nechrotic before its canals prepared. She still talks about a sharp and short-time pain when she eats cold foods but not with hot. This tooth is not sensitive to vertical percussion. And there is not adjacent tooth.! Any idea? Greetings - M From: Mauro Pagani Sent: Thursday, March 29, 2001 20 21 Subject:Pain with cold It might be fractured and you don't see any fracture symptom by radiographs (in the earliest times) because the fracture isn't complete. In these cases the patient feels a "cold sensitivity" as we say in Italian owing to the periodontal irritation associated with broken teeth. Didn't you perform any periodontal probing in that tooth? There's quite always a tubular periodontal pocket next to a tooth longitudinal fracture and this find makes often the diagnosis. Or else the dentist who did the preparation has caused a fenestration somewhere in the dental roots. Moreover are you sure you have found all the dental canals? And you've not left one of them with a vital pulp? Mauro Pagani From: Stan Kaplan Sent: Friday, March 30, 2001 04 38 Subject: Pain with cold this tooth is not sensitive to cold. Check all other teeth on that side , upper and lower by applying ice or endo-ice in an attempt to duplicate the patient's symptoms. From: Murat AYDIN Sent: Friday, March 30, 2001 21 28 Subject: Pain with cold I looked for any perforation along canal's inner surface with paper points. However Im not sure that injured periodontal tissue may cause cold sensitivity (?) You are right. Pocket depth ~3-4 mm. I didnt see a fourth one. I think there is not. Moreover I dont think any vital pulp in that canals, because this tooth had had abscess years ago (she says). Possible that pulp dead even if remains. I filled the canals with CaOH. Thanks Mauro. Greetings - M From: Bruce Gronner Sent: Friday, March 30, 2001 20 13 Subject:Pain with cold I had endo #19 and inlay. Tooth was temp sens. Inlay was removed, lingual cusp fell off and, voila, no more sensitivity. Look for a fracture. Regards, Bruce From: Bill Watson Sent: Monday, April 02, 2001 17 19 Subject:Pain with cold Another tooth-definitely!
cleaning and shaping canals From: Joseph A. Belsito Sent: Friday, March 30, 2001 00 35 Subject:cleaning and shaping canals What's everyone using for cleaning and shaping canals. I'm using quantec niti system but would like to augment the cleaning and shaping phase. Something that I could use on my air line. Any suggestions anyone......advantages? Cheers, Joseph I use the quantec flare files in conjunction with Tulsa GT files. Mark Dreyer, DMD 3503 13th Street ,St. Cloud, Fl. 34769 Univ of Fl. Class of 1986 From: David Wilhite <1davidhw@AIRMAIL.NET> Sent: Saturday, March 31, 2001 06 23 Subject:cleaning and shaping canals I have been using the Tulsa Dental system on their handpiece that fits onto the Titan slowspeed motor. David Wilhite From: Pagani Mauro Sent: Friday, March 30, 2001 23 02 Subject:cleaning and shaping canals I start shaping and cleaning root canals in the same time I open the pulp cavity. As I've opened the upper part of pulpar cavity, I start shaping the upper root canal third with a Batt modified drill. Then I find the root canal length using Apit apical localizator over a 08 Hedstroem file and I clean the root canal using Hedstroem files 08,10,15,20,25,30, sometimes 35, very few times 40 and 45. As I finish with Hedstroems, I continue shaping the root canal using Gates drills nr 1, nr 2, sometimes nr 3 (always cleaning with sodium hypochlorite), and then I start shaping the apical region with Lightspeed nr 20, nr 22,5, nr 25, nr 27,5, nr 30, sometimes nr 32,5, nr 35, nr 37,5, nr 40. Very few times I shape the apical region with 45 Lightspeed or larger ones. As I find a small difficulty in shaping the apical region, I continue in shaping with the next Lightspeed 1 mm shorter, then I use the next 4-5 Lightspeeds shortening 1 mm each time. That's my way of shaping and cleaning. Mauro Pagani
From: David Wilhite <1davidhw@AIRMAIL.NET> Sent: Sunday, April 01, 2001 07 49 Subject: cleaning and shaping canals One of the most important parts of starting a root canal in making the access large enough such that there is striaght line access to the canals. You don't want to have to bend the file in order to get it into theentrance of the canal. Then I use the Tulsa Dental first 2 GT files. By this time I am about 2/3 to 3/4 of the way to the apex. A 15 file is advanced to the estimated length and verified with a Root ZX Apex Locator. Then the Tulsa Dental Profiles starting with a 40 are used in the canals as close to the apex as they will go. Smaller and smaller files are used until working length is attained. The coronal1/2 is opened up with GG 3-5. The GG5 is only used to widen the entrance to the canal. - David Wilhite<
Periostat Hi Janet great post. Let me respond in the text. This is the kind of note that that points out the fact there is some use for Periostat in our bag of therapeutic tricks, Sent: Wednesday, February 28, 2001 6:06 PM Subject: [Periodontal] periostat Just wanted to put my two cents in on Periostat. We are prescribing it in our office to patients that just aren't responding to periodontal debridement. These are patients we have been working with for a long time, who come in every 2-3 months for perio maintenance, who are complying with home care instructions, who may continue to have inflammation, or bleeding, or exudate, who may not want to see a periodontist, who have had physicals and test negative for systemic problems such as diabetes. Larry replies: These are exactly the people for whom I would consider Periostat for. But before offering Periostat I would first consider something I believe you know and have considered because I know you are very knowlegable about these matters. That something is, as you probably know, the most common reasons for people like this not responding to treatment. 1. Your debridement proceedures have left a large number of bacteria that weren't killed during your debridement therapy, and these remain to reproduce and re-populate the gingival crevices throughout the ENTIRE mouth. Not just a few specific sites. These patients come back to recall maintenance appointments with bleeding and with loose inflamed perio tissues as if you hadn't even done debridement therapy. The most likely reason for this is that you are dealing with certain bacteria that have penetrated beyond the mucous membrane lining of the pocket into the tissue where no root planing , local antibiotics, antimicrobial irrigation, or even surgery reaches. To make matters even worse you have killed most of the bacteria actualy in the pocket including lots of non pathogenic bacteria who may have been antagonists of the pathogens that are now hiding and reproducing in the surrounding soft tissue. These penetrating pathogens can quickly repopulate the bacterial pockets they came from. Especially when they have this nice environment that has had competing bacterial antagonists removed. This was a problem of the tetracyline string use and I assume it will also be a problem with Atridox and Perio Chip. The only way to reach and kill those hidden penetrating bacteria is with a systemic antibiotic such as the combination of Metronidazole and Amoxicillin. I assume you are trying this treatment before resorting to the Periostat. Another common source of these bacteria is from inside a tooth that has had, or needs a root canal treatment. This will usually be noted as site specific (vertical) bone loss around the tooth or teeth in question. This is a tough, often unregognized problem which in my opinion is the number 1 source of actual continuation of bone loss in treated patients. If everyone out there starts thinking along these lines for any specific site that continues to loose bone, you will solve a lot of mysteries. We are not treating an enormous amount of patients with Periostat, probably about a dozen total. About another 1/2 dozen have turned it down because of the cost. All of had a favorable response. They Look and feel better. Janet That's great news. I knew you are good at what you do. That small number in a large patient population tells me you know what you arre doing. The reason I say that is that a small percentage of perio patients are going to continue downhill overtime no matter what anyone does for them. I don't know, maybe 1, 2 or even at the very most 3% of perio patients will be like this. If this type of patient wants to keep those remaining teeth as long as they can, I also would be the first to prescribe Periostat. Keep up the good work and thanks for reminding me that Periostat can be good medicine when used by the right patients. Larry I'll add rubber tip "stimulators, thin proxibrushes used obliquely and vertically, and anything else you can think of that firt under the gum. As marilyn says, all can be used to carry medicaments undewr the gum when required. Larry Sent: Wednesday, February 28, 2001 9:32 PM Subject: Re: [Periodontal] Home care for deep pockets Hi Jen, The best thing for deep pockets is an oral irrigator like Hydrofloss or Teledyne Water Pik. They both have special tips for getting to the hard to reach areas. If they can't afford an irrigator like that then I suggest the pocket irrigator or using a number if different tools to reach those areas. All of which can deliver a mega dose of germ killing medicament into the pocket. Marilyn We have prescribed the above in some of these patients, but my boss was so impressed by the results that we had with periostat, I think we sort of lost sight of the other. I am going to have to remind him of this! Thats why this list is so great-we keep each other on our toes! By the way, what do you prescribe for patients who are allergic to penicillin. Your comments about the endo-perio connection for site specific problems are very important. I have seen this connection many times! Janet message dated 2/28/2001 10:41:20 PM The only way to reach and kill those hidden penetrating bacteria is with a systemic antibiotic such as the combination of Metronidazole and Amoxicillin. I assume you are trying this treatment before resorting to the Periostat Sent: Thursday, March 01, 2001 22 00 Subject: Re: [Periodontal] Re: Another Question........ The discussion on Periostat is a good one. The real issue comes down to treatment target. If you are only trying to maintain the biomass below the 'critical' level, then Periostat makes sense. However, I have a real problem with this line of thinking. How do you know when the patient is in control? You have to wait until further damage occurs, then react. Can you imagine treating tuberculosis this way. Kind of, well we'll treat further when the patient starts coughing up blood again. We, in dentistry, have labored under "critical biomass" concept too long. How do we know how much biomass is needed before we get bacteremias from eating? It has been shown that there is a bacterial element to arthritis and other systemic conditions. Could it be that bacteremias from the gingival sulcus are the cause of a host of chronic systemic condiitons? Very likely. We need to change our thinking to eliminate the biomass. This can be accomplished by anti-infetcive therapy. Utilizing an irrigator, such as a HydroFloss, solutions can be added that are bacteriocial and daily use can eliminate the bacteria that are responsible for colonization. With these organisms, no biomass forms no disease occurs. This is so simple and can be done locallly, with short doses of antibiotics, when needed. Metronidazole is far more potent than tetracycline and far more effective. 500 mgm. B.I.D. for 10 to 14 days is sufficient. I, personally found no use for tetracycline is my practice. I used PerioChips because they deliver chlorhexadine. This is my first email on this newsgroup and I don't want to come off too strong, but I have a real passion for anti-infective therapy and found this treatment rationale unbelievably effective. Paul Keyes and I started the International Dental Health Foundation 20 years ago. Dan L. Watt, Director, IDHF Sent: Friday, February 23, 2001 12 33 Subject: Re: [Periodontal] Thought this would be of interest! Hi Pat, Thanks for sending it. I saw the same article posted on Yahoo news bites also. I sort of get the feeling that it's a promotional piece for Periostat. As you may or may not know, I personally have some reservations about that product. So I actually haven't used it yet. It's going to take more convincing to get me to use it, even though some people whose opinion I respect, swear by it anecdotally. Larry Sent: Friday, March 02, 2001 16 59 Subject: [Periodontal] Chlorhexidine Dear Dr.Watt, Is it possible to build up an immunity to chlorhexidine and how do you feel about using diluted bleach in an irrigator ? Susan Ranno, R.D.H.
want to learn that which antibiotic do you use at akut cases or flare up? -- Molar Del Sud is Dr Paul W. Davidoff 157 Elizabeth Drive, Vincentia NSW 2540 Australia If the patient is NOT Penicillin allergic then Pen VK 500 mg qid for 7 days. I can add Metronidazole 250-500 mg qid to this if no response in 48 hrs or if the abcess is rapidly advancing. If Penicillin is contraindicated then Cleocin (clindamycin) 300 mg qid for 7 days. Blake McKinley, Jr., DDS Endodontics Exclusively email spokaneendo@earthlink.net From: Molar Del Sud (Ace Dentura) Sent: Saturday, March 31, 2001 1:47 AM Subject: please answer? Dalacin C 150mg (clindamycin) From: Bill Watson Sent: Monday, April 02, 2001 17 36 Subject:please answer? If I need an antibiotic my first choice is amox 500 tid x 10 days or clindamycin 150 qid x 10 days
Dentist should probably refer evidence of peripheral neuropathy to a qualified internist or neurologist..... for further evaluation Our colleague, Dr. JanDrew has mentioned that you are quite interested in peripheral neuropathy. My take on the subject is that a dentist should probably refer evidence of peripheral neuropathy to a qualified internist or neurologist for further evaluation. This concurs with Dr. Arthur Ashbury's Chapter 363 in Harrison's Principles of Internal Medicine, McGraw/Hill. (click on the title for more details....)
20 Healing time for sinus exposure Exposed sinus with extraction tooth #2, 6+ mm diameter opening. Anyone with similar experience know approximate healing time? The only time I ever seem to hear about these cases is when patients develop an infection or adverse symptoms, but in our case, so far so good(click on the title for more details....)
21 Second molar extraction One of my patient, 39 years old has a class II molar on the left side an a class I molar on the right. (it is not a functional shift) On the left the second molar (27) has a rooth canal treatment with a crown, and the hird molar is includedwith a vary nicy parallelism with the first molar. what do you think as a treatment plan the extraction of the second molar, distalization of the first molar and let the third erupt. what type of problem do you see in this treatment plan. (click on the title for more details....)
22 Nickel Allergies I recently saw a new patient with a severe metal allergy. A zipper on her skin will cause a reaction. I know that Dentaurum has a titanium appliance. I was curious if anyone else has had experiences with other patients. I am planning to place one band in her mouth and see if she reacts to it. (click on the title for more details....)
23 Flare up after the best treatment Hello, I am Dr. Park.How are you? Sometimes,I feel embarassed with the situation requiring replacement of old and inadequate restorations for a tooth with a chronic pulpitis. (click on the title for more details....)
24 Anesthesia problems Does anyone have experience with Articaine for those tough to anesthetize "hot" lower molars? Have there been any complications associated with this anesthetic? (click on the title for more details....)
25 MTA carrier and surgery .....Has anyone else had a problem with MTA not setting up. I just redid a surgery and when I flapped the area and curreted I was able to take a micro explorer and go into the retroprep and literally lift out the MTA (not in one piece) but it was "granular"? (click on the title for more details....)
26 Repair of cracks Can anyone out there run through the technique on how to repair inta-coronal cracks/fractures using GERISTORE (click on the title for more details....)
27 interappointment medicaments Is there anyone out there that uses formocresol or any of that kinda stuff for interappointment medicaments? My contention is that calcium hydroxide is the current state of the art. (click on the title for more details....)
28 Bleeding on scaling I have wondered for a long time, though, what is the significance of bleeding during scaling? It came to mind today when I saw this patient for the 2nd time. He is Type 2 diabetic, and has typically had lots and lots of bleeding and pockets, and other hygienists had not been successful in getting him to come in often enough. I saw him 6 months ago, and convinced him to get a water irrigation device, and use it with Dr. Larry's baking soda recipe. When I saw him today, he reported that he had been doing the water irrigation 2 times a week. His perio chart showed much improvement, much less BOP, decreased pocket depths. But when I started to scale/ultrasonic this guy - he had so much bleeding! How do I explain this to someone when I have just given them such high praise on their improved perio chart. What does all this bleeding during scaling mean?? (click on the title for more details....)
29 Hypochlorite question Though I use of lot of hypochlorite I am pretty scared about the product...... (click on the title for more details....)
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Nice curves in mesial canal
Apical periodontits
Type III dens case
5 canaled molar
necrosis periradicular..
Triple paste pulpectomy
Endo cases - Marcia
"C" shaped canal anatomy
Psycho molar
routine case
straight lingual
Doomed tooth
another molar
Tooth #36
Instrument removal
Tooth #27
Horror case
Troughing case
6 year recall
9 clinical cases
Flareup after best treatment
Apex locators
Access pictures
Implants #18, #19
Nice retrofil
Molars with lesions
Access pictures
New dental products II
New dental products
Difficult retreatment
Canal anatomy 46
Freak case
huge lateral canal
Separate MB canal
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5 year recall
Palatal canals
TF retreatment
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