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Endo tips    Better Endo    Endo abstracts    Endo discussions

Core versus Hole - Courtesy ROOTS

The opinions and photographs within this web page are not ours. Authors have been
credited for the individual posts where they are - www.rxroots.com
From: Terry Pannkuk
To: ROOTS
Sent: Wednesday, January 27, 2010 8:04 AM
Subject: [roots] Core versus Hole

I try to get my referrals to let me do the cores by showing contrasting 
examples like this.  I treated the lower second molar on this patient 
7 months ago.  She came back for another tooth with an interesting photo 
view of the core I placed last July versus the core done by someone else 
on the maxillary molar.   You can see both teeth in the photo view, 
one with the mirror reflection and the other directly viewed (with a bit 
of saliva). :)

It's also a good photo to have in your patient education series when a 
patient asks why their previous dentist did the core for free :):):):)
:):):):)  - Terry



Very nice work Terry! May I ask what materials you use for the core 
build up and your step by step process? - Jonathan

I learned this from Ron Fransman.  I build up the internal core with 
Clearfil Photobonded Luxacore, then placed the surface with Filtek 
(shade match) then slightly tint with 6 endo file (brown tint) and use 
a brush to smooth. If the porcelain is thick they usually look really 
good,  If the porcelain is thin, not so good.  I'm finally getting 
pretty good at recognizing plunging cusps and looking the existing 
anatomy ahead of time to figure out how to not build it too high.  
Taking a quick photo of the surface before you access the porcelain 
is a pretty good idea if you remember.  Sometimes I start accessing 
the case, then think, "Damn, I forgot to get a prephoto" :)

Ron and Marga are masters and mastresses at this,  I'm always trying 
to get better on the next case.  :) - Terry
Protaper flaring

6 yr old Empress

Cvek pulpotomy

Middle mesial

Endo misdiagnosis

MTA retrofill

Resin core

BW importance

Bicuspid tooth

Necrotic #8 treatment

Finding MB2 / MB3

Deep in a canal

Broken file retrieval

Molar cases

Pushed over apex

MB2 and palatal canal

Long lower third

Veneer cases

CT Implant surgury

Weird Anatomy

Apical trifurcation

Canal and Ultrasonics

Cotton stuffed chamber

Pulp floor sandblasting

Silver point removal

Difficult acute curve

Marked swelling

5 canaled premolar

Sealer overextension

Complex anatomy

Secondary caries

Zygomatic arch

Confluent mesials

LL 1st molar (#19)

Shaping vs Cleaning

First bicuspid

In Vivo mesial view

Inaccesible canals

Premolar 45

Ortho and implant

Radioluscency

Lateral incisor

Obturation

Churning irrigant

Cold lateral

Tipped to lingual

Acute pulpitis images

Middle distal canal

Silver point

Crown preparation

Epiphany healing

Weird anatomy

Dual Xenon

Looking for MB2

Upper molar resorption

Acute apical abcess

Finding MB2

Gingival inflammation

Irreversible pulpitis

AG BU ortho band

TF Files

using TF files

Broken bur

Warm technique

Restorative prognosis

Tooth # 20 and #30

Apical third

3 canal premolar

Severe curvature

Interesting anatomy

Chamber floor

Zirconia crown

Dycal matrix

Cracked tooth

Tooth structure loss

Multiplanar curves