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Sinus tract 13 (US# 6):Crack
From: Winfried Zeppenfeld
To: ROOTS
Sent: Thursday, February 05, 2009 1:08 AM
Subject: [roots] crack du jour
New Patient showing up with sinus tract 13 (US# 6). Looking
at the X-ry, Ithought it might be fractured, but probing was
within normal limits, so I opened it. After removing the gutta
percha, there was a clearly visible fracture, now also on the
X-ray. This tooth looks like a compaction victim to me
(because it's only fractured apically). What do you think?
- Winfried
Winfried,This looks like a "thin walls" victim to me. The funny
thing withendodontists is that they are the only guys that blame
themselves for a problem. Our surgeons always blame everyone but
themselves for a implantgone wrong and perio guys always blame
the patients.That's probably the reason that at least in Israel
we are the garbage binfor every other people mess. And I will
better shut up about what we earn compared to those other guys.
Any force on a tooth like that can cause a crack - Thomas
Thomas,
I don't blame myself, I didn't do the endo ;-) . But that's what
I like about endo: no patient screws up my work with his oral
hygiene, and no technician srews it up with poor margins despite
a good impression, missing interproximal contacts, inadequate
tooth shape or esthetics......Winfried
I wish, My "good" referrals easily screw up my cases with a bad
post&core anytime . That's the disadvantage of being a specialist
and not doing your own post & cores - Thomas
Thomas, I always do the adhesive buildup after my endo before I
send the patient back to the referral. But I only do some work
on a referral basis. Basically, I'm a GP who spends about 40%
of his time with endo. Some patients refer themselves. The rest
of my work is (adhesive) restorative, crown and bridgework,
dentures and an increasing number of implants - Winfried
Hi Winfried, are you doing the surgery phase as well? - Kendel
Hi Thomas
Some endodontists do make their "own" post & core. I think that
in many cases this is beneficial not only for the patient but
also for the referring dentist.
Maybe we should include more training on these restaurations in
post-graduate programs and try to "educate" the referring dentists
that this is better. I know that in the Netherlands the referring
dentists will usually won't mind, and in most cases will be
pleased if I do the post & core.
The situation in other countries may be different of course.
- Hagay
and my crack do jour:) (yesterdays) - Sergiu
Hi Winfried, I totaly agree with you -
"looks like a compaction victim".
I have the same case, but I now who made this compaction
- it was me :(
I'm always looking for your cases - your presentations and
documentations are extremely good! - Ivan Yovchev
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