From: Mark Dreyer
To: ROOTS
Sent: Friday, October 23, 2009 4:57 AM
Subject: [roots] Middle mesial

I was just about to pack this one when I looked a bit closer and went back to the 6 file and found a point of negotiation
which led to the MM canal - Mark Dreyer, DMD






Hello Mark, Great job as usual!

I have two questions:

1) What was the reason for Endo ?  Crack?

Irrev Pulpitis secondary to recently placed resin restoration.  No crack noted.  - Mark

2) Would your referrals have a problem if you filled up a simple occlussal access with a permanent restoration instead of
a temporary? Has it been discussed with them?

Most of them have a problem.  Yes it has been discussed with them, and of all my referring docs, I have exactly one that buys
into the value of me placing the coronal restorations.  I tried to incorporate this a couple yrs ago and ended up losing some
referring docs.  They came back when I caved and agreed to settle for orifice barriers rather than taking the $ off their plate
by doing the bldups.

When my debts are retired in a few years, and I can afford to lose the business I'm sure I'll lose by doing it, I plan to be a
bit more hard nosed about this issue and place the coronal restoration as I feel it is the best way to protect my work and
ultimately best for the pt. - Mark

Just curious, - Siju

Great case Mark...CLAP CLAP CLAP - Glenn

Thanks, Glenn.  I do wish I could trade places with you and send you an email from Italy!  LOL
Enjoy it, that's a phenomenal country! - Mark

Mark, I question the validity of charging a patient to restore an endo access that was the result of their direct composite.
- Guy

Dear Mark do you do troughing in all your cases to check for MM canal. Dr Vinod