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