Discolored Canine
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
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Patient Centered Endodontics: The Rehabilitation of Compromised Teeth
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
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.
Bypass Express
In evaluating teeth for re-treatment, I usually look at the bitewing first to evaluate the remaining peri-cervical dentin (PCD). Then I adjust my gaze apically to see what’s going on. In evaluating this tooth, it really hadn’t been violated too bad with axial reduction as it had a gold crown, the access didn’t look particularly gauged, and the root canal shaping hadn’t been excessive. So, this tooth has another life. Honestly, I didn’t notice the separated instrument in-bedded in the root. I was able to bypass the instrument in the missed canal and medicate beyond it. We discussed the need for possibility of surgery in the future. We also discussed the risks and benefits of trying to remove the instrument rather than bypass. Lots of times, in an effort to remove an instrument the dentin cost is pretty high. So, we opted to to be content with the bypass. At the 1 year mark, it looks like we’ve got full regeneration apically. One of the clinical applications for CBCT is to evaluate healing at different time intervals.
-Trudeau
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).
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