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Endodontics |
Epiphany healing and lack of resorption
| The opinions within this web page are not ours. Authors have been credited for the individual posts where they are. - www.rxroots.com photographs courtesy: Guy W Moorman |
From: Guy Moorman To: ROOTS 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. GuyI think the key here is that the extensive lesion is healing with the precence 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
