CBCT Archives | Page 2 of 4 | Renovo Endodontic Studio

Trauma

TRAUMA

Posted on August 22, 2017 (March 24, 2021) by Jonathan Wong

TRAUMA: 15 y.o. male presented to our office 4 days following a moped accident which traumatized tooth #9. The patient stated tooth #9 was extruded approximately 2mm, and that he immediately pushed it back into the socket with his fingers. Tooth #9 clinically presented with Class II mobility, 3-4mm probing depths with heavy bleeding upon probing, and an exaggerated lingering response to cold. The PA radiograph demonstrated a mid-root horizontal root fracture. CBCT examination demonstrated an oblique horizontal root fracture approximating the palatal osseous crest. Despite guarded prognosis, it was in the best interest of the patient to maintain tooth […]

IS COMPLETE CANAL CALCIFICATION TREATABLE?

Posted on July 18, 2017 (March 24, 2021) by Jonathan Wong

IS COMPLETE CANAL CALCIFICATION TREATABLE? Many would look at this case and think that it is impossible to treat. This patient reported a history trauma which caused accelerated calcification and subsequent devitalization and infection of the tooth in question. The process of calcification is actually a protective mechanism used by the pulp (or “nerve”) to protect itself against further trauma. Consequently, it can make root canal treatment extremely difficult for the clinician who has to treat it years down the road. Although the task is difficult, and sometimes seemingly unable to be done, the characteristic of the reactive calcified material […]

Proper Diagnosis of Non-restorable Tooth Fractures

PROPER DIAGNOSIS OF NON-RESTORABLE TOOTH FRACTURES

Posted on June 16, 2017 (March 24, 2021) by Jonathan Wong

PROPER DIAGNOSIS OF NON-RESTORABLE TOOTH FRACTURES: This patient presents to our office with attempted excavation of an existing restoration and to evaluate the extent of a fracture in the crown (the patient had an MOD composite restoration). It was known by the restorative dentist that the tooth was necrotic (Note MB root lesion). For whatever reason, the dentist decided at this point to temporize and send to us for case management. BEFORE clinical exam and considering CBCT, we had noted several key factors in the PA and BW radiographs; the most important facto was the presence of bone loss on […]