Torturous apical anatomy
Simple retreatment
Periapical access
Irreversible pulpitis
Implant #30
Angled Xray
K3 and LS
Twisted files
Acute pulpitis
Int Vs Ext resorption
Triple retreatment
Radiolucency
MB2 joined with ML
Fun with tricuspid
Very large lesion
Implant case III
Implant case I
Implant case II
Chewing sensitivity
Missing ML Canal
Ledges and perfs
Simple canal
Crack or mesial canal
Mesial system
Upper right cuspid
Upper molar
Necrotic and restoration
Bent file stuck
CaOH2 Case
Necrotic cases
Dentin and pulp space
PA child case
Furcation in class III
3 roots bicuspid
Ankylos case
Deep furcation
Crown access cores
Distal part of crown
Middle mesial canal
Missed anatomy

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Lower molar : ravages of chewing tobacco - 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: Guy W. Moorman, Jr. D.D.s.
To: ROOTS
Sent: Tuesday, April 10, 2007 5:09 PM
Subject: [roots] Yesterday's fun

Yesterday's struggle.  The lower molar is an example of what the ravages of chewing tobacco look like.  Getting out the decay
was a massive problem and restorability was a concern.  I had no trust in controlling coronal leakage so I bonded the access
closed and then bonded an acrylic crown over the prepped tooth.  ProTapers to 23 mms to a F1.  Apexes to a 35 with ProFiles...0.02.
Used Epiphany with primer since I have more comfort with it bonding at this point...may change to self etch.  Temp was made
by doing a PVS impression of bonded build up and then prepping and cementing temp permanently.  The overbuilding of distals was
to widen the contact area to keep tobacco out.  He is on the sugarless variety of Redman.

#15 was in one tiny mouth but on a beautiful young lady so at least that lightened the load.  This one was fairly straight
forward but did have an MB2 and what appeared to be an DB2 (turned into a very wide orifice and not a canal).  Could not get
that dang MB2 separated...merged 2 mms from apex.  All canals to a F2 except the palatal and it was to a F5.  Finished buccal
apexes to a 45 with 0.02 ProFiles.  Epiphany with primer using System A on both the lower and upper molars.  Just a couple
from yesterday...nothing special.  Guy

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

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