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Endo tips    Better Endo    Endo abstracts    Endo discussions

Revascularization - 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
To: roots
Sent: Friday, May 25, 2012 5:07 AM
Subject: [roots] Revascularization?

Iím not making a lot of progress with this kid.  I started this 
revascularization treatment in 2008, placed the triple AB paste, 
stimulated bleeding a month later, placed the MTA barrier, let the
orthodontist jack him around,  I lost control of him/he disappeared 
and had bleaching done (tetracycline component we donítí use anymore), 
then he re-abscessed last year,  I repeated the process (2011) and 
this is what he looks like with the abscess gone today at a recall visit.
His tooth is still discolored.  I plan on going back in, checking 
the status of the pulp, place a little deeper MTA barrier and 
internally bleach with Sodium Perborate.

Big question: Why is the root not forming?

Do we have SHED, SCAP, and DPSCís available for recruitment into 
the pulp space anymore? Has all the interim horseplay eliminated 
the potential for a scaffold and revascularization
process to form an apical elongating root?

Interestingly there is normal mobility (meaning very slight) 
so I donít think the tooth is ankylosed.

Any comments, theories, science, or ideas? How often does a 
revascularization attempt fail? - Terry

Revascularization
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
Radioluscency
Lateral incisor
Obturation
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