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Forced eruption - 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: Marga Ree
To: roots
Sent: Friday, June 08, 2012 2:12 AM
Subject: [roots] Forced eruption

I treated this patient 8 years ago. History of apical surgery on 11, 
persistent complaints after surgery and rct. Her dentist recommended 
extraction of both incisors, and she wanteda second opinion. We removed 
the crowns, applied MTA and used the existing crowns as temporaries. 
In the next session fiber posts were placed and the crowns were used as
moulds for new build-ups of composite. So far, so good..

She returned after 1 year, the endos were successful, her complaints 
had disappeared. However, there was a problem with the crown on 21. 
The crown was loose  For an unknown reason, her dentist had removed the 
fiber post, placed a metal post and prepped the crown margin
3 mm subgingivally. The build- up was prepped away almost completely, 
there was no retention and resistance. The crown on 21  had been 
re-cemented several times.

The patient was not satisfied with her crowns, and she asked what 
could be done.. We decided to do a forced eruption, there was no 
ferrule on 21. I placed a new fiber post and a new build- up.
my husband did the ortho and made new crowns for her, this time 
with a proper occlusion. The old crowns were way to thick with heavy 
contact surfaces.

A few weeks ago she came for a long- term recall, 8 years after 
finishing  retreatment and 7 years after the new crowns were made. 
There are still in place without any problems. The condition of the 
gingiva could be improved, but the gingivitis was not only limited
to her 2 centrals. She is still very happy with the result.  - Marga

Forced eruption

Forced eruption

Forced eruption

Forced eruption

Forced eruption

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