Dentaltown February 2018 - 100
continuing
education
How and Why Endo Plays a Significant Role in Dentistry
Fig. 9
Fig. 10
Fig. 11
EXAMPLE 1
Nonsurgical endo retreatment of tooth #30 (Fig. 9) resulted
in apical healing. A previously untreated midmesial canal was
located (Fig. 10) with use of endo ultrasonic pulp floor grooving
and under microscope magnification and treated successfully
(Fig. 11).
Fig. 20
Fig. 12
EXAMPLE 5
Fig. 13
EXAMPLE 2
Would anyone really consider extracting tooth #31 (Fig. 12),
which is structurally sound and with irreversible pulpitis, instead
of endodontically treating it (Fig. 13)?
Fig. 14
Fig. 15
EXAMPLE 3
Why not endodontically treat this symptomatic #29 with
bifurcating calcified canals (Fig. 14)? Such cases can be
predictably treated (Fig. 15) with the use of a dental microscope
and current generation of narrow and flexible NiTi files.
Thanks to 3-D/CBCT imaging, we can
now better diagnose and treatmentplan cases that otherwise would have
been difficult, or impossible, to perform
Fig. 19
with only 2-D radiographs as reference.
Mildly symptomatic #15 with no (clear) apical pathology noted
in a PA (Fig. 19). Thanks to CBCT imaging (Fig. 20), a significant
apical lesion is noted along with untreated MB2 and DB canals.
The precise diagnosis provided by 3-D imaging of such (failing)
endodontic cases enhances our ability to manage them
endodontically.
Fig. 21
Fig. 23
Fig. 16
Fig. 17
EXAMPLE 4
Note the visibility inside tooth #3 (Fig. 16) endo access,
comparing the view without (Fig. 17) and with (Fig. 18)
enhanced magnification and illumination. Thanks to a dental
microscope, a very fine white-lined vertical fracture was noted
reaching the pulp floor. By diagnosing such (exceptionally fine)
fractures, we can weed out potential endo cases that would
be doomed to fail due to mechanical (fracture) issues, not
endodontic ones. Doing so may increase prognosis of carefully
selected endo cases.
100
FEBRUARY 2018 // dentaltown.com
Fig. 22
Fig. 18
EXAMPLE 6
Tooth #3 that presents with an inverted MB root "J-shaped"
lesion that is consistent with a vertical root fracture (Fig. 21).
But CBCT imaging (Fig. 22) doesn't reveal signs consistent
with a vertical fracture, and instead simply has an apical (not
vertical) lesion associated with an untreated MB2 canal. Without
a CBCT scan, this tooth may have been extracted. Instead, with
the use of 3-D imaging and magnification, the MB root can be,
and is, re-treated (Fig. 23). This highlights the significant role
that endodontics plays in dentistry.
http://www.dentaltown.com
Table of Contents for the Digital Edition of Dentaltown February 2018
Dentaltown February 2018 - Intro
Dentaltown February 2018 - Cover1
Dentaltown February 2018 - Cover2
Dentaltown February 2018 - 1
Dentaltown February 2018 - 2
Dentaltown February 2018 - 3
Dentaltown February 2018 - 4
Dentaltown February 2018 - 5
Dentaltown February 2018 - 6
Dentaltown February 2018 - 7
Dentaltown February 2018 - 8
Dentaltown February 2018 - 9
Dentaltown February 2018 - 10
Dentaltown February 2018 - 11
Dentaltown February 2018 - 12
Dentaltown February 2018 - 13
Dentaltown February 2018 - 14
Dentaltown February 2018 - 15
Dentaltown February 2018 - 16
Dentaltown February 2018 - 17
Dentaltown February 2018 - 18
Dentaltown February 2018 - 19
Dentaltown February 2018 - 20
Dentaltown February 2018 - 21
Dentaltown February 2018 - 22
Dentaltown February 2018 - 23
Dentaltown February 2018 - 24
Dentaltown February 2018 - 25
Dentaltown February 2018 - 26
Dentaltown February 2018 - 27
Dentaltown February 2018 - 28
Dentaltown February 2018 - 29
Dentaltown February 2018 - 30
Dentaltown February 2018 - 31
Dentaltown February 2018 - 32
Dentaltown February 2018 - 33
Dentaltown February 2018 - 34
Dentaltown February 2018 - 35
Dentaltown February 2018 - 36
Dentaltown February 2018 - 37
Dentaltown February 2018 - 38
Dentaltown February 2018 - 39
Dentaltown February 2018 - 40
Dentaltown February 2018 - 41
Dentaltown February 2018 - 42
Dentaltown February 2018 - 43
Dentaltown February 2018 - 44
Dentaltown February 2018 - 45
Dentaltown February 2018 - 46
Dentaltown February 2018 - 47
Dentaltown February 2018 - 48
Dentaltown February 2018 - 49
Dentaltown February 2018 - 50
Dentaltown February 2018 - 51
Dentaltown February 2018 - 52
Dentaltown February 2018 - 53
Dentaltown February 2018 - 54
Dentaltown February 2018 - 55
Dentaltown February 2018 - 56
Dentaltown February 2018 - 57
Dentaltown February 2018 - 58
Dentaltown February 2018 - 59
Dentaltown February 2018 - 60
Dentaltown February 2018 - 61
Dentaltown February 2018 - 62
Dentaltown February 2018 - 63
Dentaltown February 2018 - 64
Dentaltown February 2018 - 65
Dentaltown February 2018 - 66
Dentaltown February 2018 - 67
Dentaltown February 2018 - 68
Dentaltown February 2018 - 69
Dentaltown February 2018 - 70
Dentaltown February 2018 - 71
Dentaltown February 2018 - 72
Dentaltown February 2018 - 73
Dentaltown February 2018 - 74
Dentaltown February 2018 - 75
Dentaltown February 2018 - 76
Dentaltown February 2018 - 77
Dentaltown February 2018 - 78
Dentaltown February 2018 - 79
Dentaltown February 2018 - 80
Dentaltown February 2018 - 81
Dentaltown February 2018 - 82
Dentaltown February 2018 - 83
Dentaltown February 2018 - 84
Dentaltown February 2018 - 85
Dentaltown February 2018 - 86
Dentaltown February 2018 - 87
Dentaltown February 2018 - 88
Dentaltown February 2018 - 89
Dentaltown February 2018 - 90
Dentaltown February 2018 - 91
Dentaltown February 2018 - 92
Dentaltown February 2018 - 93
Dentaltown February 2018 - 94
Dentaltown February 2018 - 95
Dentaltown February 2018 - 96
Dentaltown February 2018 - 97
Dentaltown February 2018 - 98
Dentaltown February 2018 - 99
Dentaltown February 2018 - 100
Dentaltown February 2018 - 101
Dentaltown February 2018 - 102
Dentaltown February 2018 - 103
Dentaltown February 2018 - 104
Dentaltown February 2018 - Cover3
Dentaltown February 2018 - Cover4
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