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Endo tips    Better Endo    Endo abstracts    Endo discussions

Curmudgeon Chronicles: Case

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

Hereís 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 itís 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

Nice curves in mesial canal

Apical periodontits

Type III dens case

5 canaled molar

necrosis periradicular..

Triple paste pulpectomy

Endo cases - Marcia

"C" shaped canal anatomy

Psycho molar

routine case

straight lingual

Doomed tooth

another molar

Tooth #36

Instrument removal

Tooth #27

Mark Dreyer cases

Troughing case

6 year recall

9 clinical cases

Flareup after best treatment

Fred Barnett cases

Cases by Marga Ree

Glenn Van As cases

Sashi Nallapati cases

Cases by Jorg

Terry Pannkuk cases

New dental products II

New dental products

Difficult retreatment

Canal anatomy 46

Freak case

huge lateral canal

Separate MB canal

Crown infraction

5 year recall

Palatal canals

TF retreatment

Fiber cone

Bio race cases