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The opinions within this web page are not ours. Authors have been given due credit

Alveolar bone height : Mesial marginal ridge crack

From: Terry Pannkuk To: ROOTS Sent: Thursday, July 09, 2009 3:47 AM Subject: [roots] Wishful Thinking Here's a retreatment case I started one month ago. There was a crack through the mesial marginal ridge coursing to the MB2 orifice which then appeared to take an abrubt 90 degree turn horizontally. It wasn't a good prognosis, but we decided to place CH for a month and see if the symptoms resolved; they didn't and the patient continued to have discomfort upon lateral forces on the tooth. Next visit: study models, extraction, and planning for an implant replacement in 4 months. The alveolar bone height is a least 10mm and probably more from the slight radiographic image distortion. It's always a good idea to weight the implant option versus the heroic endo option. Once in a while the heroic endo option i s favoured. The endo option is a very poor idea in this case and is virtually certain to fail. If the alveolar bone height had been 2-3mm and the fracture compromising only the distobuccal root, possibly a distobuccal root amp would be considered. DB root amps are pretty much the only roots I'll consider amping on these teeth, these days, but only if the implant option is unfavorable. The more options you have available, the more you have to think about - Terry
Typical molar
Type II palatal
Deep split
Gold onlays
Cerec Onlay
Multiple access
MB root
Cavernous sinus
Apical in DB
Apical lesion
Resorption lacuna
Upper bicuspid
Pulpitis case
Multiple tooth isolation
Interdental molar bone
Dens invaginatus
Periapical healing
Microscope Zeiss
Calcific metamorphosis
Instrumentation protocol
Perforation case
Double curvature
Buccal sinus tract
Buccal swelling
Lingual version
Tooth # 4
Dumbing down of dentistry
Evidence based dentistry
Upper incisor
MB and ML canal
Furcal floor
Trauma case
Broken file cases
Large lesion
Flex post
MTA obturation