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Endo tips    Better Endo    Endo abstracts    Endo discussions

 Tooth #27
The opinions within this web page are not ours.Authors have been credited
for the individual posts where they are. - www.rxroots.com photographs courtesy: Winfried Zeppenfeld

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

Quite impressive Winfried - Mark Dreyer Great case Win, if I ever needed a similar treatment, I would come to Flensburg!! - Marga

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