Deep probing defects at the distal - 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: Mark Dreyer
Sent: Friday, January 27, 2006 10:05 PM
Subject: [roots] Crack
I wish I had a dime every time a naked eye dentist (NED) said a scope
wasn't needed to dx a crack. Referring dentist sent me this guy for
rct on 30. Patient was convinced the problem was 31, but the dentist
didn't see anything wrong with that tooth and assumed the guy's pain
was from 30, which actually responded normally to the cold today; 31 was
non-responsive to the cold, had deep probing defects at the distal,
and +++ to apical percussion and palpation. Off to the OS for this guy
- Mark Dreyer
Hmm. Looks like maybe this was an OED (one eyed dentist). Yikes!
I see that 30 has issues but how could you miss 31? - Arturo
Cool case Mark........
You think the PA with the radiolucency would give it away. There usually
is occlusal decay on the surface of these to cause the weakness for the
Mesial to distal crack to occur. I know so much more about cracks now
that I have been using the scope for 8 years. It is actually so cool to
see the cracks when you get the scope. Its one of the first two things
you notice far more of with the scope. Cracks and decay. These mesial
to distal cracks seem to happen A LOT on lower 2nd molars which are at
the end of the fulcrum I guess.
Great case and if I have a chance today I will post some recent cracks
cases........I LOVE DOCUMENTING THEM with the scope.......sooooooo cool
He must have missed the big area on the distal root as well ?
Very convincing, but I think you would see it
with loupes as well. - Thomas
You might as well do 30. It is a short step away. Guy
I prefer the old fashioned caries excavation first. If no pulp exposure,
we usually try make a filling, most last a long time. It's true endo later
is usually harder due to calcification. I am sure Terry will kill me ...Thomas
Did it! - Mark