The opinions within this web page are not ours. Authors have been credited for the individual posts where they are. Photos courtesy Terry Pannkuk - ROOTS

From: Terry Pannkuk
To: ROOTS
Sent: Thursday, December 01, 2005 3:58 AM
Subject: [roots] Curmudgeon Chronicles: Case

Here’s some more non-intuitive clinical dentistry probably performed by someone who could cite some misinterpreted outcome
study promoted by a John Kanca/Ray Bertilotti type.

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 understood.

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 it’s been sodomized. - Terry

   


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