The Endo Fix

Mandibular molar with distal caries under crown: bitewing, access photos, root filling and 6.5-year recall

Soup to Nuts

February 5, 2020 Michael Trudeau Daily Fix

This patient was in for another tooth so we grabbed a followup of this case we performed 6.5 years ago. Pretty extensive distal caries under the crown. The wide platform lent itself to a truss

Periapicals of mandibular molar endo-perio lesion: pre-op, root filling and 2-year recall

Bilateral Endo-Perio Cases

November 21, 2019 Michael Trudeau Daily Fix

Same patient-both teeth probed more than 9mm in the furcation area. In both cases we placed the tooth in medication for a few months during which time the probings decreased to 3mm or less. In

Periapical and access photos of mandibular molar with extensive caries before custom resin matrix

Custom Resin Matrix: 9 Years Ago…

November 21, 2019 Michael Trudeau Daily Fix

This is the same patient as the prior post but contralateral side. She had extensive decay under the existing crown which didn’t leave much to work with. It was a pretty tough case to band

Custom Resin Matrix

November 13, 2019 Michael Trudeau Weekly Fix

Terminal teeth are tough to band and keep rubber dam isolation. So we came up with an alternative- the custom resin matrix. Using green opaldam we make a custom matrix to pack amalgam with or

Periapical, CBCT and surgical photos of mandibular canine external resorption repair

External Resorption of a Lower Canine

November 11, 2019 Michael Trudeau Daily Fix, Resorption

Lower canines seem to exhibit a higher degree of prevalence of external resorption than other teeth. Perhaps it’s the higher forces as they guide the occlusion. Perhaps it’s their position as the corner of the

$Serial periapicals of maxillary anterior tooth: fiber post, fracture and stainless post redo to 4 years$

Stainless Post Case

November 7, 2019 Michael Trudeau Daily Fix

Kind of an interesting case. Not a lot of tooth to start; we went with a fiber post initially. It broke off at a year. We redid it with a stainless post. Looking good 4

Periapicals and access photo (MB, MB2 labeled) of maxillary molar with disto-palatal root and bone loss

The Dreaded Disto-Palatal

November 6, 2019 Michael Trudeau Daily Fix

This is one of those pesky problem case types- the “dreaded disto-palatal” rooted tooth. There is furcal bone loss present, and further, the bone loss proceeds around all the roots and heads distal quite a

Bitewings, periapicals and CBCT of maxillary tooth with external crestal resorption treated with DME, 5 years

5 Year Outcome with DME

July 12, 2019 Michael Trudeau Daily Fix

We used imaging to determine the restorability of this tooth. Based on the resorption classification for clinicians, this is a case of external crestal resorption of the scooping variety. For the deep margin management we

Mandibular molar bridge abutment: periapicals, CBCT with mesial bone loss arrows, access with ML, MM, MB canals

Precision Endodontics

June 26, 2019 Michael Trudeau Deep Fix

Precision endodontics was a concept John and I were planning to explore in more depth in the text Advanced CBCT for Endodontics: Technical Considerations, Perception, and Decision-Making (Khademi). Like many other noble concepts John wanted

Endodontic treatment planning checklist of 11 questions on scope, hostility, restorability and imaging

Treatment Planning in Endodontics