From: Gary L. Henkel D.D.S.
To: ROOTS
Sent: Friday, February 01, 2008 1:52 AM
Subject: [roots] not as cool as dr. Garcia's case, but it's all I've got today



Not bad for a provost!  Endo vac case? - Arturo

Yes - Gary

Nice Gary!  Still coneless?  Still using endoactivator prior to endovac? - KendelG

Yes.  That was a somewhat poorly condensed endovac case with resilon squirt obturation.- Gary

Clap clap clap ........tell me about the endo vac. - Glenn

Very simple device that pulls irrigant to wl, developed by john schoeffel and now sold by discus.
I saw bobby posted the webinar links, and you can also see their website.  We have found more of
these apical anatomy fills than ever before since we started using it in june of last year.- gary

Nice case, Gary. The now retired Alan Cady



Fred,

First of all I am very disappointed a general dentist did not take a PA film before treatment planning her crowns.
The surgical result looks very nice.  I assume the fill was MTA?

You are grafting these defects?  Not letting a blood clot do the job, ala Stropko?

I have started using the BTI implant system and they have a bone grafting philosophy which in many cases uses only
clotted fibrin from the patient's plasma in defects like these.  You do a blood draw, centrifuge the blood,
pippette off the plasma, and activate it with calcium chloride, producing a beautiful fibrin clot that can be
used to fill simple defects like these.  You should arrange a PRGF demonstration for your residents.
- Dan Shalkey

Thanks Dan.  We have an OS who does this.  Grafting was done because of the buccal loss of bone...but the jury
seems to out on how successful this is.

Bill Becker is coming in April to lecture of bone grafting - Fred