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The opinions within this web page are not ours. Authors have been credited
for the individual posts and photographs where they are. - www.rxroots.com

Lesion on cuspid

From: Terry Pannkuk To: roots Sent: Friday, March 02, 2012 8:35 AM Subject: RE: [roots] A nonfortuitous long term recall Iím looking through some cases for a resorption presentation I'ím preparing. I thought the attached case was interesting. I treated the second molar and the bicuspid in 1999. They were still there in 2008 but the first molar was developing more advanced ECIR and the teeth I treated were probably on the chopping block as an implant treatment plan was being developed. These are the types of cases that fall into the 1/3 non-surviving/non-healthy category. I insist I learn a lot about my own treatment outcome results by looking at the teeth I can in my practice. The below radiographic image is how the patient first presented in 1999: I doubt many people would attempt to save #20 in 2012. I'íd call the coronal shaping of #20 quite wide. Teeth are usually wrecked from the outside not the inside. Iím not convinced from any evidence (literature or empirical) that internal bonding/fracture resistance is a necessary primary goal of endodontic treatment; debridement/sealing to protect the attachment apparatus from communicating pathogens is . I suspect there is a lesion on the cuspid because itís likely a poorly cleaned/poorly filled/sealed case. If you perfectly clean the canal system itís not that important to fill it. If you aren'ít perfect (none of us are) you better fill/seal it the best you can. Less space=less room for a clinically significant titer of pathogens. Obturation for all practical purposes is important, even though ideally in Utopia it is not - Terry lesion on cuspid
Occlusal trauma
Premolar and RCT
Resistant lesion
Screw job
Geristore resorption
Curved MB canal
Tectraciclin in surgery
Root resorption
Endo perio lesion
Crack resorption
Mandibular molar
External resorption
Rubber dam limits
Middle mesial
3D obturation
Inflammatory resorption
Hess anatomy 3
Wierd upper 2nd molar
Implants and/or teeth
Cracked tooth syndrom
Crown root fracture
Open Sinus lift
Mandibular nerve
Missed DL canal
Apical Periodontitis
Endodontic autopsy
MM Canal
3 visit retreatment
Deep bifurcation
Dangerous curve
Lower wisdom
Coronal lateral
Hess anatomy
VC Obturation
Diagnostic trivia
Sinus tract
Extraction & Clearing
Tooth #2
Implant placement
tooth clearing "technology"