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.  Guy





I 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