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Endo or implant?
From: Terry Pannkuk
To: ROOTS
Sent: Monday, January 19, 2009 6:31 AM
Subject: [roots] Endo or Implant?
This was a tough decision. Issues of isolation, type of core build-up,
presence/extent/location of fracture, predicted quality of restoration,
expectations of patient, etc. etc. factored into the "decision-to-treat"
equation. - Terry
Terry excellent work. I was wondering, what was the material you used
to aid isolation of the tooth? - Jonathan
Like....wow......Jeffrey
Plain ol' cheapo Dycal injected in a needle tip Centrix Syringe.
It's better than any other isolation material I know. It's just strong
enough to hold up during the entire treatment and easy enough to chip
away at the end.
Copper Band/Dycal technique. I'm a cheapskate so I like to find
materials I don't have to pay much dough for. :):):)
I gave this lecture in San Diego last November which had this posted
case which I did last March.
There are clearly cases where I insist on placing amalgam versus
composite; if the patient is an amalgam-phobe and won't allow me
to place it; I recommend extraction. A crown margin on amalgam has a
chance of working out if subgingival, a crown on composite is a loser.
- Terry
Thanks for sharing the case and your pdf with us Terry! I've been
using Cavit to do the same thing, but it's darned difficult to get
out from the interproximal area after restoring if the margins are
subgingival. Will definitely have to give the Dycal a go.
As Jono said, very nice endo indeed. :o) - Vivian
Terry, great case!! Will you be showing this case at District II?
- Marga
Thanks, I'm just trying to find representative cases from each type
of "Dilemma Category" I get rare cases to fill in some dilemma
categories, and too many filling up others. The dilemma category of
"questionable restorability" is unfortunately my most populated
category. :( - Terry
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