Check Page Ranking

Home
Dental tourism
Conferences
New additions
Dental books
FREE journals
Bad breath
Kids caries
Smoking effects
Patient info
Dental Videos
Latest news
ROOTS cases
Wisdom tooth
Diabetes
Drugs of choice

Endo tips    Better Endo    Endo abstracts    Endo discussions

Laser troughing - 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: "Dr. Glenn van As"
To: "ROOTS" 
Sent: Friday, March 05, 2010 7:40 AM
Subject: [roots] Laser troughing

Ok folks:  I wanted to share with you one area where the diode laser helps.  
This patient is a lawyer, I have never seen her before.  She just left.  
She cracked a tooth (lower 2nd molar) on a chicken bone.
She never flosses.  The tooth was sore to chewing and she wanted the crown 
done today.

You can see these quick photos taken from my Sony HD video camcorder of the 
case.  The crack was large and I advised her that she may likely need an
endo but she wants to try without it first.

Since she never flosses its tough for me to use cord.  The bleeding is alot.  
So I used the laser and troughed to get the impression .  
It took me 2 mins to do this.

No viscostat, no cord, no problems - Glenn



Glenn,,  In many cases I believe 80%, a composite filling would do in cases 
like this. Just by taking amalgam out and placing a composite filling, 
you  don't have to remove the crack's just fill it properly
and the pain will disappear. -  Rob

Rob......interesting viewpoint......

This patient wanted a crown, and this was already a very deep MOD and both 
lingual cusps were cracked . I am sorry but in my practice I do crowns and 
often these end up needing endo as well.

This is a crown for sure in my practice ( 3 surface MOD + fractures of both 
ML and DL cusps).  You could do an onlay I guess but I wont do a 4 surface 
resin on a molar like this very often

The ML cusp broke off half way through as well.

Sorry, this one needed cuspal coverage for sure and the patient was sore 
as well. - Glenn

Here are two views of the cracks....I  have found that most of these will 
not settle down when I do a resin and if so its only provisional. 
Just my viewpoint. - Glenn

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