The Endo Fix

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Resorption Repair

Resorption, Weekly Fix

Suffolk Endodontist, www.endoviriginia.com

Suffolk Endodontist, www.endovirginia.com

Suffolk Endodontst

Suffolk Endodontist

6 year followup on this case. CBCT imaging was used for determination of restorability. This type of resorption is crestal resorption. The resorption was determined to be less than two line angles by way of extent and located on the palatal. The endodontics was performed and a fiber post placed well below the level of the resorption. In this case we performed a burectomy to remove the ginigiva and visualize the cavosurvace once the the resorptive soft and hard tissues were removed   A matrix band with a little Dycal was used for isiolation. A bulk fill of glass ionomer was placed and then vaneered with flowable composite. The restorative material approached the bone in the area of resorption, however, on followup there is no recession, and no bleeding on probing. We’re cautiously optimistic about a favorable long term outcome.

IGT of a Lateral

Daily Fix, Large Lesion

Suffolk Endodontist

 

The porcelain crown attempted to correct the spacing caused by a peg lateral and as such the center of the canal was located pretty far distal to the crown. Using the imaging to guide the therapy (Image Guided Therapy or IGT) the access was planned for this particular tooth extending through the incisal edge along the long axis of the tooth. A thin fiber place was placed. The tooth was left in CaOH until there was evidence of radiographic healing.

Bridge Retreatment

Daily Fix

Suffolk Endodontist

 

Suffolk Endodontst

The patient presented with pain on the distal abutment of the bridge. Clinical examination revealed caries and that the bridge was loose on the mesial abutment. The patient wasn’t interested in implant therapy due to a prior bad experience and chose to have the bridge remade. The premolar was retreated (Thermafill carrier removed with hedstroms) and the molar treated endodontically. Due to the wide short chamber present on the molar we chose to make a dual access leaving a dentin truss for support. The premolar was restored with a fiber post for rehabilitation purposes. We opted to use custom resin matrices for restorative purposes. The 1 year followup shows a good fitting bridge, and a functional asymptomatic restoration.

Mid-Mesial Joiner

Daily Fix

Hampton Roads Endodontist

This tooth had a mid mesial portal of negotiation. Looking at cbct’s of lower molars, there’s often a concavity that makes aggressive shaping of these teeth risky. Root form appopriate instrumentation of these mid mesial canals is usually pretty conservative, especially when they join (no reason to hog it out if it does).

 

A Rad First Post

Daily Fix

While still trying to figure out the intricacies of webdesign and blogging, I needed to have a first post, and of course I wanted it to be rad. Luckily today, a Radix Entamolaris came in for a complete. I love it when I get patients who are part of a referring doctors dental team. They are discerning, and I’m always honored when they choose me.