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Cracked Tooth Syndrome
Category: Dental Anatomy
Cracked Tooth Syndrome
Retreatment...
Retreatment…
Retreatment: Here is an interesting case of root canal retreatment from a failed initial attempt at initial endodontic treatment. This particular case was filled with a carrier-based filling material, which has no solvent. This, along with the presence of a metal post cemented in the tooth, makes it inherently more difficult to treat. If you look closely at the photo of the post-treatment access, there is a 3rd canal (not separate) within one of the roots. Another cool case! […]
Compromised Teeth...
Compromised Teeth 2
Compromised Teeth: Here is an interesting case where there are 2 things going on with the same tooth. First, there is significant bone loss around one of the roots (see green arrows) which would seem to suggest possible fracture (this tooth also had deep isolated probing in a specific area which would also support non-restorable fracture). Additionally, there is root resorption associated with the same root (see red arrow). Due to circumstances outside of our control, we did not complete this case for 6 months. We were happy to see that not only did we achieve complete bony healing, but […]
Compromised Teeth...
Compromised Teeth…
Compromised Teeth: Let us preface this post first by saying that choosing to save compromised teeth requires very clear communication between the patient, comprehensive dentist, and the specialist. There are many factors involved in making decisions to save or not to save teeth. Here, the factor that would limit success of the tooth is the restorative aspect, and not the endodontic treatment. Although a dental implant may be a more predictable long term outcome, longevity of the tooth truly depends on the patient so long as the endodontic and restorative treatment are adequate (i.e. maintaining hygiene and always be aware […]
Adverse Outcomes
Adverse Outcomes
Adverse Outcomes: We present here a case where the patient presented with a broken instrument within one of the canals. This is always a cause for concern for patients who are worried of infection and systemic effects. We must first recognize that bacteria causes infection, not foreign materials. The broken instrument only serves as a physical obstruction towards proper cleaning of the tooth. Here, we were able to identify with CBCT that the canal with the broken instrument shares a common exit with other canal which does not have a broken instrument. In this case, we were able to bypass […]
Success/Failure
Success/Failure
Success/Failure (of root canal treated teeth) – The prognosis for endodontically treated teeth depends on 3 main factors which are as follows: 1] How good is the root canal? 2] Is there an appropriate restoration for the endodontically treated tooth? How good is the restoration? 3] THE PATIENT: We like to call this the X-Factor. It is up to the patient to maintain the dental work so that it will last as long as the expected. Here, the endodontic treatment and restorative treatment were adequate when compared to older radiographs, but recurrent decay set in underneath the prosthesis rendering the […]
Dx and Internal Root Resorption
Dx and Internal Root Resorption
Diagnosis and Internal Root Resorption: Interesting case presented here. This tooth is non-vital and infected. However, prior to getting to this state there was a process of internal root resorption (green arrow) which can only have happened while the tooth was alive (live tissue is required for this process to happen). Additionally, there is significant bone loss evident in the furcation area. This is NOT caused from the resorption defect; rather likely from an infected accessory canal! Pretty interesting because there are multiple things going on with this tooth. […]
Dental Anatomy
Dental Anatomy 4
Hospital Affiliation
It’s official: Credentialing and affiliation between Advocate Sherman Hospital and Renovo Endodontic Studio is complete! […]
Dental Trauma
Dental Dental trauma: Here is an unfortunate case of facial trauma with nerve exposure. Because the tooth was slightly underdeveloped, we made the decision to preserve healthy pulp tissue to encouraged continued development and root wall thickening. This will ultimately result in a better long term prognosis. The restorative aspect of treatment was done quite well here as well! […]
