From: Sergiu Nicola
To: ROOTS
Sent: Wednesday, January 20, 2010 10:18 PM
Subject: [roots] my endo "failure" of the month

well, here is a case i treated 7 months ago, and now she came to me with a nice vertical root fracture.

just take a look at the nice occlusal interferences in lateral movement this crown has.......
(you have a youtube link here: http://www.youtube.com/watch?v=mfgHdrdh6Qs )

so, who's fault should be this case?:) - Sergiu



Sergiu, I think it’s nobody’s fault. It’s bad luck, you did a good job, and it looks nice.
On the First photo you just see pariodotitis apicalis at the apex and nothing along the root,
so no sign of fracture there.

This could probably be a case for the CT scan! - Rob Kroese

I'm sorry, but I think the fracture was there originally.  It was a problem in not catching
it at original diagnosis.   To my eye, it can be seen on your finish film.

Pretty tough to lay blame on the crown when they will occasionally supererupt with the lesion and
change their position.  The video shows group function with the canine - - Craig Harder

Well, Craig, i had a bad feeling about this one right at the beginning, so i double checked for a
vrf before and after the rct, that area included. So i am sure that line wasn't there when i,ve
finished. Maybe the video is not that good, but i've seen an early involvment of the bicuspid in
lateral movement, right before the canine was takeing in. Ah, and the patient told me that she felt
the crown 'high' for a week or so after luting. I'll be back tomorow with some clinical pics from
the treatment, including staining . Thanx, Sergiu

I must have read your attachment wrong.  Thought that the date on the second pic you circled was
from last year.Bad situation.I hate bicuspids for this reason (along with lateral incisors)- Craig Harder