Resorption on a Lateral
37 yo. Hx of Mx advancement with ortho.
4 visits. You can see the more and more of the resorption being debrided with the CaOH radiographs.
MTA obturation with a fiber post.
-Karmali
Category: Daily Fix
Biodentine Cvek Pulpotomy
This was a young patient who sustained trauma which resulted in a crown fracture to his maxillary central. The tooth had been restored, but the dentist had reported a significant exposure. Weighing the options we went with vital tooth therapy due to the incomplete development of the root. We chose Biodentine for the pulpotomy repair because it isn’t supposed to stain. At one year it looks like there is a dentin bridge and without any staining. We’ll keep him on followup, but the 1 year outcome looks good.
Caries Leveraged Lower Molar
A pretty long molar with mesial caries.
-Levin
Unusual Maxillary Premolar
This is the first time I’ve ever seen this variant. This maxillary premolar had a distinct mesial and distal canal. I’v seen rotated premolars before that looked like this radiographically. However, the buccal cusp was in the correct orientation. This tooth would really only allow for a single fiber post.
-Trudeau
Going Deep…
Bonded amalgam in this one. Gave the RD the option for a deep elevated margin, which he did not exercise.
Last image is a 2 year followup.
-Karmali
MB3
Maxillary molar with a narrow platform.
-Levin
Mid-Mesial Joiner
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).
“T”!
This is a primary tooth (T), I treated 7 years ago. Looks like it’s still hanging in there. Primary teeth have very thin roots so large shapes are contraindicated. This is one of the teeth that helped shape my ideas about root form appropriate instrumentation.
A Rad First Post
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.
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