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UNIQUE ANATOMICAL PRESENTATIONS WHEN CONSIDERING APICAL SURGERY
UNIQUE ANATOMICAL PRESENTATIONS WHEN CONSIDERING APICAL SURGERY
"That's Hopeless! - Get an Implant!"
“That’s Hopeless! – Get an Implant!”
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FRACTURED TOOTH? OR IS IT?
FRACTURED TOOTH? OR IS IT?
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TRAUMA MANAGEMENT
TRAUMA MANAGEMENT
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INVASIVE CERVICAL RESORPTION PART 2
INVASIVE CERVICAL RESORPTION PART 2
INVASIVE CERVICAL RESORPTION PART 2: Another interesting example of a compromised anterior tooth that came through the office. This one has class Hiethersay Class IV (resorption into the root structure), but with careful planning using CBCT and surgical therapy, a great outcome can be achieved. Stay tuned for “Invasive Cervical Resorption Part 3: Return of the Tooth Jedi” […]
INVASIVE CERVIAL RESORPTION
INVASIVE CERVIAL RESORPTION
INVASIVE CERVICAL RESORPTION: Here is an interesting case. This patient ended up in our care after a root canal was done on tooth #9. He was informed at that time that it wasn’t guaranteed that the tooth could be saved and that a dental implant might be necessary or a surgery of some sort. As one can see on the pre-operative radiographs, sagittal slice of the CBCT and clinical photo, there is clear evidence of invasive cervical resorption on the buccal aspecdt extending below… the level of the crest. Additionally, the granulation tissue was not addressed via non-surgical access. Because […]
C-SHAPED RETREATMENT
C-SHAPED RETREATMENT
C-SHAPE RETREATMENT – Conical second molars can have some of the most variable anatomy in the adult dentition. Here we present two “c-shape” molar retreatment cases that highlight this unusual morphology. Due to the twisting, merging, splitting, and curving of these canals which are often all be joined by a thin slit of tissue called an isthmus, meticulous endodontics is essential in order to achieve healing. […]
DENTAL ANATOMY
DENTAL ANATOMY 8
DENTAL ANATOMY: Here is an interesting one that came in today. Usually when we come across a 5 canal lower molar, it is usually in a first molar. Also, it will more commonly occur in first molars. Here we present a “5 canal” lower molar in a second molar, with the extra canal in the distal aspect as opposed to mesial aspect. Maybe not as cool since 2 of the 3 distal canals share one common exit each, but pretty photos nonetheless…all in the efforts to eviscerate pulp tissue… […]
Compromised Teeth
Restorative Considerations
Compromised teeth: Many times the limiting factor in the prognosis of teeth requiring endodontic treatment is the restorative aspect. Here we present a case in which rerstorability may be in question becuase fo the fractured portion of the crown. As part of the endodontic treatment, we repaired the portion of the crown prior to initiating the endodontic treatment. The endodontic treatment is quite standard, but we would like to point out the soft tissue response of our repair at 6 weeks when the case was completed. The difference betweent he pre-operative photo and the 6 week follow-up is significantly different […]
CBCT Imaging
CBCT Imaging
CBCT IMAGING – As many of us are aware, CBCT imaging applications for dentistry are growing at an exponential rate. This case highlights an unusual scenario where the patient received an apicoectomy on tooth #9 ~25 years prior to presentation. His chief complaint was a large sinus tract that had recently developed. Convential PA shows a moderate diameter lucency around the root apex. However, the …CBCT volume highlights an existing osseous graft (later revealed to be bovine bone graft through histology) that is infected and encapsulated by soft tissue. The native bone destruction is actually quite large and perforated on […]
