The Endo Fix

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,

Periapicals and access photos of two C-shaped mandibular molars before and after retreatment

C-Shape Retreatment

April 11, 2018 Fix It Crew Daily Fix

We ended up retreating both of these molars. Unfortunately there was a lot of tooth spent on the initial treatment that probably affects the long term prognosis. Intermediate term outcome, almost.

Periapical, CBCT views and access photo of maxillary anterior tooth with palatal crestal resorption

Resorption Repair

April 10, 2018 Michael Trudeau Resorption, Weekly Fix

6 year followup on this case. CBCT imaging was used for determination of restorability. This type of resorption is crestal resorption. The resorption was determined to be less than two line angles by way of

Periapicals and access photo (distal and MB canals labeled) of a three-rooted premolar

3 Rooted Premolar

April 6, 2018 Fix It Crew Daily Fix

We recently finished up this 3 rooted premolar. I considered using amalgam on this one due to the caries rate. Also considered deeper Markley wires. However, since the furcal floor was 3-4 mm below the

Periapicals and access photo of crowned peg lateral incisor with image-guided incisal access

IGT of a Lateral

April 5, 2018 Michael Trudeau Daily Fix, Large Lesion

The porcelain crown attempted to correct the spacing caused by a peg lateral and as such the center of the canal was located pretty far distal to the crown. Using the imaging to guide