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Epiphany healing - Courtesy ROOTS

The opinions and photographs within this web page are not ours. Authors have been credited
for the individual posts where they are - www.rxroots.com
From: Guy W. Moorman
Sent: January 30, 2006 8:21 AM
To: ROOTS
Subject: [roots] Epiphany healing

This may be one of the most dramatic healing of a case with any material that 
I've retreated.  The initial endo was done in 1999.  The tooth is #31.  30 was 
done in 1980 and the lesion is the same.  Fill is with Epiphany. Shaping with 
ProTapers and ProFiles.  Standard irrigation of sodium hypochlorite, water, 
alcohol, water, EDTA, water, CHX.  This is a real Epiphany healing in just six 
months - Guy W. Moorman, Jr. DDS

Very nice, Guy! Keep up! - Camil Would you mind if I put my name on that case ;-))) - Fred Guy, Very nice results! I noticed you increased the apical preparation diameters substantially from the previous apical sizes. What were the final prep sizes? Better debridement and disinfection certainly helped the case a great deal - Randy Hedrick These were a 45 apical prep with a 0.02 ProFile...#45 - Guy Spectacular! In the course of your retreatment did you see any clues as to the etiology of the failure? The first endo doesn't look that bad to fail in only 7 years. Missed canal? DougR Doug, as I've said before, I think my major failure was cleaning and shaping the apex. Fred, Bill Watson, and Jerry Avillion deserve credit for beating that need into my think skull. Now if I could beat it into the kids around here and the young endo guys. I'm trying to get our GDA district program chairman to contact Fred and get him down for a program with all endo guys in attendance. I'll make sure they are there. I probably did not do near the amount of disinfecting of the canal that I do now. I am not giving credit of this to Epiphany. Personally, I think it is a fantastic material with huge potential but I think a retreat of this case with gutta percha and ZOE would have worked as well...maybe not as quickly. That is what amazed me. We had a total resolution of a huge lesion in about six months. Guy

Protaper flaring

6 yr old Empress

Cvek pulpotomy

Middle mesial

Endo misdiagnosis

MTA retrofill

Resin core

BW importance

Bicuspid tooth

Necrotic #8 treatment

Finding MB2 / MB3

Deep in a canal

Broken file retrieval

Molar cases

Pushed over apex

MB2 and palatal canal

Long lower third

Veneer cases

CT Implant surgury

Weird Anatomy

Apical trifurcation

Canal and Ultrasonics

Cotton stuffed chamber

Pulp floor sandblasting

Silver point removal

Difficult acute curve

Marked swelling

5 canaled premolar

Sealer overextension

Complex anatomy

Secondary caries

Zygomatic arch

Confluent mesials

LL 1st molar (#19)

Shaping vs Cleaning

First bicuspid

In Vivo mesial view

Inaccesible canals

Premolar 45

Ortho and implant

Radioluscency

Lateral incisor

Obturation

Churning irrigant

Cold lateral

Tipped to lingual

Acute pulpitis images

Middle distal canal

Silver point

Crown preparation

Epiphany healing

Weird anatomy

Dual Xenon

Looking for MB2

Upper molar resorption

Acute apical abcess

Finding MB2

Gingival inflammation

Irreversible pulpitis

AG BU ortho band

TF Files

using TF files

Broken bur

Warm technique

Restorative prognosis

Tooth # 20 and #30

Apical third

3 canal premolar

Severe curvature

Interesting anatomy

Chamber floor

Zirconia crown

Dycal matrix

Cracked tooth

Tooth structure loss

Multiplanar curves