Check Page Ranking

Home
Dental tourism
Conferences
New additions
Dental books
FREE journals
Bad breath
Kids caries
Smoking effects
Patient info
Dental Videos
Latest news
ROOTS cases
Wisdom tooth
Diabetes
Drugs of choice

Endo tips    Better Endo    Endo abstracts    Endo discussions

  Decayed cervical abfractions

The opinions within this web page are not ours
Authors have been credited for the individual posts where they are. - ROOTS

From: "Arturo R. García D.M.D."
To: "ROOTS"
Sent: Saturday, March 12, 2011 12:38 AM
Subject: [roots] Recent case 3-11-11

This was an interesting case that was in for follow up last week.  A great
pt to work with and a nice lady who always had a smile on her face, even
when she did not have a smile she was happy about or comfortable with.

8 and 9 were hopeless as were the lowers.  The ext sites were grafted for
ridge preservation.  The lower arch did not need grafting.  Our own
implant expert Dr. Rick Kline placed 6 Implant Direct RePlant implants on
the lowers.  This was restored with a screw down, hybrid final prosthesis.
The upper is all eMax including a 6 unit bridge from 6-11.  She had
decayed cervical abfractions on almost all her upper teeth.  There's even
a root canal in this case.  #13 turned into a carious exposure and a RCT
because of one of those decayed abfractions.  Its a lot closer to the pulp
from the side than it is from the top. It had a funky apex and I think I
got most of it, hopefully all of it.

I took a neuromuscular bite using a J5 Myomonitor TENS and K7 Evaluation
System.  Using this bite, we had Bob Clark and Williams Dental do an upper
arch wax up and a lower denture type temporary prosthesis. We used this to
fabricate an immediate load, screwed down, full arch lower temporary
prosthesis.  That same day of surgery I used the wax up to create the
upper orthotic including pontics over 8 and 9.  I bonded some Ribbond to
the teeth first to provide support for the orthotic and strength for the
pontics.  The she wore the lower temp hybrid and upper orthotic for 4
months while the implants healed and the bite stabilized. Then we got the
nlower hybrid to the final try in and prepped the upper teeth for
porcelain at the same visit.  the inserted the lower final prosthesis at
bthe same visit as the upper porcelain.

The pt is very happy and I like the case, but I want to do some
recontouring when she comes back for her 3 mo hyg visit. - Arturo


Nice curves in mesial canal
Apical periodontits
Type III dens case
5 canaled molar
necrosis periradicular..
Triple paste pulpectomy
Endo cases - Marcia
"C" shaped canal anatomy
Psycho molar
routine case
straight lingual
Doomed tooth
another molar
Tooth #36
Instrument removal
Tooth #27
Mark Dreyer cases
Troughing case
6 year recall
9 clinical cases
Flareup after best treatment
Fred Barnett cases
Cases by Marga Ree
Glenn Van As cases
Sashi Nallapati cases
Cases by Jorg
Terry Pannkuk cases
New dental products II
New dental products
Difficult retreatment
Canal anatomy 46
Freak case
huge lateral canal
Separate MB canal
Crown infraction
5 year recall
Palatal canals
TF retreatment
Fiber cone
Bio race cases