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Cracked Tooth Syndrome - 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: Javier Pascual
To: ROOTS
Sent: Thursday, August 27, 2009 1:02 AM
Subject: [roots] Cracked Tooth Syndrome

This patient came today in the morming.

She says that tooth 2.6 is sensitive when she bites and little sensitive 
with cold drinks.

Normal probing
No vertical/horizontal percussion
Normal response to cold test
Positive response to Bite-Test (the spanish version of tooth slooth 
"ortho band adaptator")

She is being treated because her bruxism by her GP, but she doesn´t use
her dental splint. After showing this pictures I hope she minds her problem.

Teeth exploration reveals multiple fractures lines and loss of occlusal 
anatomy.  Pulp seems not to be affected, patient has some economic problems. 
She is advised of the uncertain prognosis of this tooth. Would you recomend 
to place an ortho band as economic solution? extraction? crown? -  Javier

Hi Javier, that canine and the first premolar look more like bulimia than bruxism to me - Winfried Javier look at the distal of 26 looks like you have a periodontal pocket there. This may be associated with a fracture - Carlos Murgel

Toughest root canal

Retricted mouth opening

Deep decay

Upper second molar

Open sinus lift

Implant after extraction

Implant # 20

Implant # 30

Irreversible pulpitis

2 step necrotic case

Fracture

Lesion on MB

Endo perio case

Surgery or implant

Silver point removal

Series of cases

SS reamers and files

Single visit RCT

Ortho resorption

Apico retreatment

Apical perforation

Funky canine

Crown preparation

Two tough molars

Epiphany recall

To squirt or not

Core distal end

MTA miracles

Pain with LR

Instrument removal

3 canals upper Bi

Acute pain

Dental decay

Calcified chamber

Mandibular first molar

Ultrasonic activation

Fluorosis

TF and patency

Interim dressing

Huge lesion

Tough distal canal

Debris in pulp chamber

Access and success

Restricted mouth opening

Broken drill fragment

MB2 or lateral

Gutta percha cases

Another calcified

Big Perf

Canals and exit

Dam abuse

Amalgam replacement

Simple MTA case

MTA barrier

Restoration with simile

Immediate implant

Traumatic accident

Lesion on D root

Extract / Implant

Carious exposure