Check Page Ranking

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

Endo tips    Better Endo    Endo abstracts    Endo discussions

Long narrow,curved fractured root - Courtesy ROOTS

The opinions and photographs within this web page are not ours. Authors have been
credited for the individual posts where they are -
From: Terry Pannkuk
Sent: Thursday, April 08, 2010 11:06 AM
Subject: [roots] Long Root Extraction Drill Out

I’ll try to get back on a clinical rather than philosophical track 
which will be less likely to embarrass me. Ken mentioned root anatomy 
and endodontists knowing root sockets.  Here’ is an example of an 
extremely long narrow, curved fractured root.  It would have taken me 
forever elevate/pull this tooth out but the drill out was simpler,
kinder to the bone, and took less than a ˝ hour.  I used a 30mm long 
veterinarian round bur as advocated by Kevin Mullin. Very simple to do 
with a rubber dam.  If it had been a second molar near a buccal 
positioned mandibular nerve where I couldn’t use a dam I would have 
referred it to an oral surgeon.

The second extraction case next to it is a rubber dam extraction of 
a maxillary second molar performed yesterday. The patient is from Maine, 
had a split tooth emergency and will go back to their periodontist in 
Maine for the implant. I communicated with the periodontist to see if 
he wanted me to take the tooth out and prepared it the way he wanted 
with Collacote plugs in each of the three sockets and a sutured Biomend 
membrane. It seems like a good idea for the person placing the implant 
to be the person who extracted it, but in this case the patient
was going to be in town too long,  so I tried to give him as much info 
as possible with multiple pics and a CBCT disk.  - Terry

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
Lateral incisor
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