Newsletter 18-07-2010
PCD preservation
Lower premolar
Single implant
Irreversible pulpitis
Upper premolar
Dental problems
Apico tooth #13
Root resorption
CBCT Tooth #5
Alveolar fracture
Surgical planning
Fracture/ Trauma
Newsletter 11th July
Commercial or science?
Self adjusting file
Munce discovery burs
RCT Tooth #14
7 years failure
Molar anatomy
Orifice seals
Extraction socket
Fractured molar
Pulpo periodontitis
Lateral incisor
Large lesion
Newsletter 4-7-10
2 molars with AP
Vertical condensation
Big lesion
Re-splitting tooth
Bone blocks
Micro surgery
Endo pathology
Complex roots
3 D era in Endo
High pulp horn
Apical periodontitis
Vertical percussion
Buccal mucosa
Cyst like lesion
Tooth #34, #36
Vertical fracture
Cantilever bridge
Enamel matrix
Missed DB canal
Immediate implant
Tough case

Web discussions    New additions    22 secrets for healthy smile    X-ray discussions

 Advanced perio,endo and MSD
The opinions within this web page are not ours.Authors have been credited for the individual posts where they are. -
From: Liviu Steier
Sent: Tuesday, July 20, 2010 6:02 AM
Subject: [roots] Perio - Endo + MSD

Referred case with advanced Perio / Endo + MSD.

There is a very fine line  between "needed" and/or "doable dentistry" here,
which is very difficult  to be crossed both by patient and dentist. - Liviu Steier

what's the spirochaete lower left? Could you give us an idea of history, pt complaint, etc, at the moment I have no idea what I should be looking at. - Bill .... the "Titanium spirochaete" is an implant! LOL - Liviu Chief complaint of the patient: - sporadic pain and inflammation posterior upper right side. Vitality test has been performed. Perio charting has been performed (the results are obvious...). Study casts mounted into an articulator and model analysis performed (result advanced occlusal disharmony lacking any functional guidance). Treatment options: 1. Doable symptomatic treatment. 2. Needed full mouth rehabilitation. Let us start with the "full mouth rehab" concept: Upper jaw: a. Either full clearence ( this would be the advise given by an Implantologist). b. Leave upper front (very conservative treatment but with negative repercussions as any temporary restoration might exert novice forces and end up with the loss). c. Temporization for the healing time with a removable device. d. Option 1. bilateral sinus elevation and implants ( 3 per side) plus 2 in the anterior area supporting a removable device. Option 2. 4-5 implants in the anterior area with a removable device. Where is the difference among the two options? Option 1 will be well sustained by the prosthetic field while slight mobility with option 2. Lower jaw: Teeth 46 / 47 will need occlusal adjustments to fit the upper "ideal" occlusion (this is why the upper will gain first attention). Doable treatment? Patient needs to understand all the compromises: - Periodontal inflammation and relation to maxillary sinusitis and other general health issues. - Destructive occlusion and repercussions on periodontal health. - Loss of jaw support with any further tooth loss. - Loss of bonny support for optional later implant placement. ...but what is the doable treatment? - Symptomatic? - Curative? Difficult call! - Liviu
1 visit lateral incisior
Coagulum over implant
Trauma- Endo-Surgery
Pre bent SS hand files
Isolation for post buildup
Placing MTA retrofill
Horizontal percussion
Calcified central incisor
Temporary glass ionomer
Irreversible pulpitis
Ortho and retrograde
coronal restoration
Cervical hypersensitivity
23 year recall
A gone case
Weird lesion
Huge lesion
Pulpitis on 45
Isthmus anatomy
14 year recall
Caries exposure
Tooth #37
Perio inflammation
Severe percussion
2 D healing
Crown access
Canal with acute bend
Cracked tooth syndrome
Tooth discolorisation
Mesial systems with POE
Endo treatment
Newsletter 30th May 2010
Endo implant
To CT or not
Buccal gingival swelling
Polished collar
Molar restoration
Immediate implant
Whiteline puzzle
Final coronal preparation
Type 3 Heithersay resorption
19 year recall - Molar case
Isthmus Anatomy
Acute irrversible pulpitis
Horizonatal,vertical percussion
Orthoband cases
Symmetric resorption
Removing Niti instruments
Calcified incisor
Ca(OH)2 extrusion
Resorption defect
Apico on MTA
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