Daily Fix – Page 6 – The Endo Fix

Perio of Endo Origin

November 2, 2017 Fix It Crew Daily Fix

Hampton Roads Endodontist

These can be unpredictable. Teeth with deep periodontal probings on teeth with mesial and distal roots in close proximity can have those probings as a result of periodontal disease. They can also have those probings as a result of endodontic pathosis. Really, the best way to determine if its endodontic origin, is to initiate endodontics and monitor the probings over time. If the probings resolve, as they did in this case, then the cause is endodontic in nature. Unfortunately, if its periodontal in nature the prognosis is usually poor. After a few months in CaOH2, we had our answer, as the probings dropped to 3mm and then we finished the case. Managing the case in this way makes things predictable. The one year followup shows complete healing in 2D.

-Trudeau

Crown Fracture Repair

November 1, 2017 Fix It Crew Daily Fix

Hampton Roads Endodontist

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

Discolored Canine

October 31, 2017 Fix It Crew Daily Fix

Hampton Roads Endodontics

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

Resorption on a Lateral

October 30, 2017 Fix It Crew Daily Fix

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

30 with a Kickback

October 29, 2017 Fix It Crew Daily Fix

Hampton Roads Endodontst

Biodentine Cvek Pulpotomy

October 28, 2017 Fix It Crew Daily Fix

Tidewater Endodontist

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

October 26, 2017 Fix It Crew Daily Fix

A pretty long molar with mesial caries.

-Levin

Unusual Maxillary Premolar

October 25, 2017 Fix It Crew Daily Fix

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