FIXING COMPROMISED CASES: This 50 y.o. healthy male presents with pain associated with the support tooth of his bridge. We have noted a 6 unit FPD with #5 and #6 used as pier abutments. We have diagnosed a recurrent infection associated with #6 secondary to a misplaced post causing a perforation on the disto-palatal aspect. As all potential options involving removal of the FPD would be very costly to replace, we made the decision to perform surgical repair of the perforated post. Root end preparation and retrofill was also done to seal off all potential communications from the canal system […]
Tag: FPD
LAST CASE OF THE WEEK
LAST CASE OF THE WEEK: Non-restorable #31 – Bridge sectioned between #29 and pontic #30 – #31 and residual root tip #30 extracted – Extraction site #31 grafted – Site #30 ridge augmented in preparation for dental implants to replace the existing FPD. […]
ENDODONTIC TREATMENT PLANNING DILEMMAS
ENDODONTIC TREATMENT PLANNING DILEMMAS: Here we present an interesting case of a 47yo healthy Asian male with an exceptionally esthetic FPD #3-5 with #4 as the pier abutment. The FPD was done a little over a year prior to initial presentation to our office. The patient had subsequently presented to our office with persistent bite discomfort and pain upon digital palation of the “gums”. Although both #4 and #5 were infected, #4 had a vertical root fracture traveling from the apical –> coronal (confirmed via CBCT and subsequent surgical access). Apical surgery was initially planned on #5 and full root […]
VERTICAL ROOT FRACTURE
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COMPLEX RESORPTION PATTERNS
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UNUSUAL PRESENTATION OF A ROOT FRACTURE
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