From: Winfried Zeppenfeld
To: ROOTS
Sent: Friday, July 14, 2006 4:57 PM
Subject: [roots] Crack du Jour, 2 year follow up of earlier post

I just took a 2 year follw up X-ray of a tooth 27 (#15US) . There was a
crack (between the 2 blue arrows) and the patient reported pain when
chewing hard food. Pain could be provoked upon release of pressure. No
more symptoms after treatment.

2 years later, the tooth reacts normally to cold testing, there is no
pain and probing depths are between 2 and 3 mm. I don't see any
obliteration of the pulp chamber that would have justified endo. In my
opinion, there is no need for full coverage of these teeth if they are
restored with adhesive composite restaurations that are reinforced with
Ribbond or Everstick. Except the lacking radioopacity of the Ribbond, I
like this treatment approach that saves as much natural tooth structure
as possible. I restored all other teeth in that quadrant with composite
as well in 2001(tetric ceram). Best regards from Flensburg, Germany, - Winfried

s



Quite impressive Winfried - Mark Dreyer

Great case Win, if I ever needed a similar treatment, I would come to
Flensburg!! - Marga