Weird tooth #37

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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Weird tooth #37 - 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: Peter Kiefner
To: ROOTS
Sent: Friday, June 18, 2010 5:44 AM
Subject: [roots] weird anatomy du jour

a peculiar case today,
37 with no clinical symptomatology and MASSIVE CORONAL DECAY - for sure a question if there is a primary resorptive
ldefect with subsequent bacterial penetration leading to this lesion.

Anyhow, coronal restoration with problems regarding keeping canal patency. The rest was business as usual - cleaning,
shaping and filling with a interesting result. - dr. Peter kiefner

Peter, Why would you try to salvage this tooth? Wouldn’t an implant-supported crown have been a better alternative?
- Henry C. Levant

Peter, I agree, you did alot of work but that tooth has alot of decay and in my books would be better served with an
implant supported crown.

I also think that you tried very hard to document the case and shared it with us so I dont want to be overly negative
Thank you for all your hard work.

Let us know with recalls how the tooth is doing in the future - Glenn

Peter, Good effort. in my office this tooth will be deemed non restorable.
if the patient cant afford an implant, i will recommend a partial denture - Sashi Nallapati

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