Michael Trudeau, Author at The Endo Fix

Crown Repair

July 13, 2018 Michael Trudeau Weekly Fix

A quality crown repair is important for successful patient centered outcomes. What’s desired is a quality core and an esthetic closure. There are options in achieving these goals, and presented here is just one

Animated sequence of mandibular molar radiographs from a completed endodontic case

Endo GIF

June 26, 2018 Michael Trudeau Daily Fix

James Ho started doing some endodontic GIFs; here’s one he made out of a case we finished last year.

Traditional retreatment decision algorithm based on root filling quality, symptoms and coronal seal

Rethinking Retreatment

June 26, 2018 Michael Trudeau Deep Fix

A more traditional approach to retreatment thinking was given to me courtesy of Ken Serota with this first algorithm. The focus of the decision making is on the quality of the root filling. Decision

Periapicals and access photo of retreated mandibular molar with large lesion, pre-op to 5-year recall

Molar Recall with Large Radiographic Finding

May 16, 2018 Michael Trudeau Daily Fix

This patient presented with a previously treated molar with pain and swelling and a large radiographic finding. The tooth was retreated and medicated for a few months. 5 year followup shows complete healing.

Periapicals and access photo of mandibular molar with frustum-shaped access and custom resin matrix

Frustum Retention

May 14, 2018 Michael Trudeau Daily Fix

Keeping the preparation conservative even in the last 2-3 mm helps in retaining the core. The shape of the access here is a frustum, or pyramid with the tip cut off. This providees a macro-retentive

Periapical and access photos of cracked mandibular molar with crack lines stained

Shaking My Head

May 11, 2018 Michael Trudeau Daily Fix

This is one of those cases that doesn’t make any sense. 7 years on a cracked tooth with probing to the apex… probings adjacent to the cracks. We put him in meds for a

Deep Margin Elevation

April 27, 2018 Michael Trudeau Daily Fix

A case where there was deep interproximal decay. This was an example of deep margin management. The margin was placed on amalgam and the result was a nicely fitting crown. Apically some good healing at

Deep Margin Management

April 25, 2018 Michael Trudeau Weekly Fix

Deep caries and the resulting deep margins can be a restorative problem especially when the patient has a history of interproximal caries or a “high caries hostility index”. Generally speaking it’s better to have

Periapicals and access photo of mandibular molar with dual caries-leveraged access and dentin truss

Dual Entry Molar

April 20, 2018 Michael Trudeau Daily Fix

Caries on the mesial and distal made this a dual caries leveraged access. We modified a UT4 to prepare under the truss. An old perio probe and shepherd’s hook explorer was modified to be

Periapicals and clinical photos of maxillary central retreatment with external crestal resorption repair

Resorption Retreatment

April 12, 2018 Michael Trudeau Daily Fix, Resorption

This patient presented with pain associated with failing endo. The endodontic therapy was revised, and the tooth restored with a fiber post and palatal composite. The resorption would be classified as External Crestal Resorption,

Author: Michael Trudeau