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Crapped up Retreatment Recall 7 years with CBCT - 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: Terry Pannkuk
Sent: Sunday, September 05, 2010 4:32 AM
Subject: [roots] FW: Crapped up Retreatment Recall 7 years with CBCT

I retreated this crappy case in 2003.  The dentin was stained, soft throughout the pulp chamber with a
small strip perf of the furcation in the MB.  I filled the entire MB with MTA.  Bonded the floor and
orifices with flowable then a macrofil composite core.  A perplexing decision was made in 2008 when
he returned with a cracked tooth on #4, the mesial abutment for the crappy bridge.  The prosthodontist
he was seeing at the time wanted me to assure him that #2 was ok after I extracted #4..  He felt that
if #2 was going to eventually fail, he would want an implant in the #2 position and the #4 position
to make an implant supported bridge. The oral surgeon who placed the implants was unavailable so
I took the #4 tooth out after communicating with him.  No crap was placed in the socket. The oral
surgeon took an ICAT in 2008 before he and the prosthodontist planned out the implants.
I found #2 to show no recurrent lesions from what I could tell on the PAís and the ICAT images which
had crappier resolution compared to the Kodak.  He came back last week to have a different tooth treated.
I still donít see any areas of concern after taking the CBCT today. So far it looks like a good decision
to keep this crappy tooth. I figure even if it cracks, develops recurrent caries, and fails a few years
down the road, a single implant can be placed in the #2 site.  The implants look like they were positioned
beautifully by the oral surgeon.   - 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
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Molar cases
Pushed over apex
MB2 and palatal canal
Long lower third
Veneer cases
CT Implant surgury

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Apical trifurcation
Canal and Ultrasonics
Cotton stuffed chamber
Pulp floor sandblasting
Silver point removal
Difficult acute curve
Marked swelling
5 canaled premolar

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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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