Sharing Passion for Fixing Teeth With Endo
This 11 year old sustained trauma to his front maxillary incisor. It was uncomplicated (not involving the pulp). The fractured segment was re-bonded and the fracture line was camouflaged with composite for an aesthetic fix. Today we saw him for a followup at 1.5 years. The tooth still responded normally to cold and we’ve seen some root development.
-Trudeau
No history of trauma, but there was some discoloration. It was symptomatic as well. We performed some bleaching as well as the endodontic therapy.
-Trudeau
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
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.
A pretty long molar with mesial caries.
-Levin
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
Maxillary molar with a narrow platform.
-Levin
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).
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