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Extensive cox-crapification : Huge resorptive defect - Courtesy ROOTS
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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: Mark Dreyer Sent: Wednesday, December 10, 2003 5:11 AM To: ROOTS Cc: roots@ls.rxdentistry.com Subject: [roots] cox-doodoo This is one of my old restorative patients that I saw this morning on emergency. He had intra-oral swelling associated with de-vitalized #3. The restoration had probably been done 4-5 years ago, and he never came back for recalls. Today he presented on emergency basis. I told him I didn’t like the looks of it on the pre-op film, but wanted to try to save the tooth if possible. Not only was there extensive cox-crapification but upon access a huge resorptive defect was encountered as well. We decided to treat this one with cold steel and sunshine. I drained the intra-oral abcess but didn’t get any good pus pictures. Maybe Terry P is on to something after all with this cox crap thing - MarkMark, These are unfortunately more common than anyone wants to talk about. If the AAE wasn’t so weenieish about addressing Coxcraposis and would devote some research energy into this prevalent clinical problem, there would be less patient morbidity and the pulp crapping proponents would be a dying breed. We’ve got enough screwed up root geodes forming out there that the endodontic specialty is going to be busy treating this insidious garbage for years - Terry What political considerations are preventing the AAE from addressing this issue? I practiced restorative dentistry for 13 years and never knew about this until I read your posts, Terry. I showed this case to my wife last night, and she mentioned that she had come across another one of my old restorative patients with this same situation. - Mark Mark, It’s rampant and BS. Langeland quit the AAE over it. I wouldn’t be surprised if Langeland and I are the only ones with any passionate interest in the problem. Reasons for Nonchalant Ignorance: 1 Companies like Bisco have supported many research projects selling resins as a pulp capping agent and supported by Cox and his cronies. 2 Many restorative dentists don’t like the inconvenience of an unexpected pulp exposure and the disruption of their production. 3 Many restorative dentists don’t understand the proper way to educate a patient before beginning treatment about the vulnerability of the pulp, and the realistic probability of needing root canal treatment after beginning a restorative procedure. Primarily because patients have been behaviorally conditioned to be afraid of the endodontic treatment and the costs. 4 The endodontic community (i.e. AAE) doesn’t want to bite the hand that feeds them (i.e. the restorative dentists that refer patients), so they play the politically correct game and act like it’s a nonissue. Addressing it causes conflict and doesn’t conform to the financial interests of endodontists. 5 The Endodontic Community is fully aware of the problem but because there is passive concealment of education to the rest of the dental community the problem exists as a silent misunderstood disease process. This kind of political manipulation really irritates me, especially when it scientifically corrupts the profession, for which I am dedicated. I have no love lost for the Perpetraitors of health care corruption, and neither does Langeland - Terry This is a huge problem. CNA is now recommending an informed consent for crowns and one of the things it's sez is that a root canal might be required. I'm not willing to quit the AAE over it, but Langeland trained Walton and I trained with Walton so you know where I stand on this issue - Joey D
