Extensive cox-crapification : Huge resorptive defect - Courtesy ROOTS
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From: Mark Dreyer
Sent: Wednesday, December 10, 2003 5:11 AM
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 didnít 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 didnít get any good pus pictures.
Maybe Terry P is on to something after all with this cox crap thing - Mark
Mark, These are unfortunately more common than anyone wants to talk about.
If the AAE wasnít 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.
Weíve 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, Itís rampant and BS. Langeland quit the AAE over it. I wouldnít 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 donít like the inconvenience of an unexpected pulp
exposure and the disruption of their production.
3 Many restorative dentists donít 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) doesnít 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 itís a nonissue. Addressing it causes conflict and
doesnít 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
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