Epiphany healing and lack of resorption
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- www.rxroots.com photographs courtesy: Guy W Moorman
From: Guy Moorman
Sent: Wednesday, January 23, 2008 5:26 PM
Subject: [roots] Epiphany healing and lack of resorption
This case came in yesterday as a crown appointment. We had been following
it for three years but he would sort of get lost on us at can happen with
these cases. The buildup is not beautiful on 08 but that was yesterday and
that is a patch of a void before a crown prep.
This case is not atypical of most of ours wait until the last moment and
then want to keep the tooth. These one from 2005 seems to have made it.
The Epiphany is not resorbing as rapidly is it often does now. I wonder
if there has been a formula change since 05. This was done with ProTapers
and probably over shaped. Obviously apical control was lacking but we can
live with these squirts for healing. I was finally satisfied at the end
of last year that we had a successful healing so we did the crown
yesterday. W have a Pentron FiberKleer post in the distal canal. There
was actually a lot of tooth remaining that does not show.
There appears to be a lesion to the mesial. We checked that very same area
in 03 and 04 with a pan and it comes out normal appearing on the radiograph.
Still I’ve got him coming back after seeing this last film for a pan in 08
to check it. This family has endured more trials than should be allowed.
There are four children and all four children have lost a child in an accident.
Then one of the children died young leaving a widow and two remaining children.
Their mother died suddenly last year, leaving their father in a deep depression.
They say we are never saddled with more than we can take but sometimes
I wonder. Guy
I think the key here is that the extensive lesion is healing with the presence
of Epiphany sealer in the area which shows that it does not hamper healing and
is noninflammatory to the tissue (or it wouldnt be healing would it?) - Gregory
No, but we’ve known it was very biocompatible for a long time…clinically.
- Guy W. Moorman, Jr. DDS