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Role of sandblasting
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Treatment and root anatomy
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Lateral canal
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Molar with long roots
TF use limitations
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Prosthetic reconstruction after ortho - 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: Gary L Henkel DDS MAGD
Sent: Tuesday, August 17, 2010 2:40 AM
Subject: RE: [roots] opinions on appropriate management

I pray this photo compressed.  Iím using 2010 and they changed the usual place to compress for email.
Hereís a photo that will help.  I have no qualms at all about using invisalign to move these teeth.
Note how protrusive he is, so the space will close a great deal simply by retracting anterior.
But, big but, Gary is not doing butkus with this case until I get through to this guy that:

1. He has perio involvement everywhere, with calculus hanging all over the place.
   was referred to me specifically for invisalign, claims he had his teeth cleaned
   two months ago.  We never ever want to move teeth in the presence of perio, or we can
   move them into the trash can.

2. As Fred has pointed out, we have endo and a root tip to remove on #9
   (oops, let me translate that into Canadian speak , the one one! J )

3. Soft tissue sculpting with the laser between the 11 and the 21 (think I just spoke in Toronto
   over the weekend.  Iíve got this stuff down!)

4. A detailed plan for prosthetic reconstruction after the ortho.  He has multiple missing teeth.
   He has been advised simply moving the teeth to prove we can do so is not what needs to happen.
   Moving with a purpose towards a reconstructive end is what we need.

So I have another consult scheduled to review our findings.
He thinks he is dentally in good shape.  Wrong! - gary

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

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