Curmudgeon Chronicles: Case
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Photos courtesy Terry Pannkuk - ROOTS
From: Terry Pannkuk
Sent: Thursday, December 01, 2005 3:58 AM
Subject: [roots] Curmudgeon Chronicles: Case
Hereís some more non-intuitive clinical dentistry probably performed by someone
who could cite some misinterpreted outcome study promoted by a John Kanca/Ray
The pulp had been Cox-crapped into histo-complicated oblivion and clearly should
have had endo before the crown instead of a pulp cap.
Note the interesting arrested caries along the internal dentin-crown interface.
An isolated resorption defect (Heithersay Type 2 EICR) was present at a mesial
pulp horn (favorable prognosis).
I get the feeling that very few practicing dentists understand the economics of
epidemic ignorance supported by the charlatans of science. I spent at least an hour
dissecting irritational dentin away from the true pulp chamber floor, and
troughing crapped up grooves. I certainly charge more for these cases and the
patient would have been much better served by quality endo having been performed a
decade ago before the crown. It was a long arduous appointment that could have
been simpler and less costly to the patient if some pulp biology had been previously
I treated the resorption defect with trichloracetic acid, and after cleaning and
shaping all the canal systems placed CH and will finish in a month. - Terry
Terry, how do you know it had been previously pulpotomized or pulpcapped? - Marcos
..because the base extended into what previously was the pulp chamber.
As a matter of fact this ML orifice looks like itís been sodomized.
There is NOTHING worse than non-intuitive clinical dentistry probably
performed by someone who could cite some misinterpreted outcome study
promoted by a John Kanca/Ray Bertilotti type.
Greetings from Einstein. - Fred