Comments on The Endo Blog: This, Not That, Follow up

Hi, Intriguing blog. Informative blog.. I never re...

2012-01-19T00:42:47.644-08:00

Hi, Intriguing blog. Informative blog.. I never read such interesting and full of information blog. Great job!!!!

Thanks for this interesting post. Only just found ...

2012-01-12T21:56:19.672-08:00

Thanks for this interesting post. Only just found this site and will be sure to bookmark it as all the posts I have read on it so far have been good.

From my experience, the ability to accurately diag...

2011-12-27T13:03:30.233-08:00

From my experience, the ability to accurately diagnose cracks in the crown or root of the tooth with CBCT is still far from perfect. I still do not feel 100% about diagnosing a crack without visualizing. However, I have seen some cases where CBCT has identified a crack/fracture and simplified the diagnostics. But that is not everytime.

I couldn't agree more Jason and Robert! Micro...

2011-12-27T08:12:22.263-08:00

I couldn't agree more Jason and Robert! Microscopes should be the standard of care for all multirooted teeth. Usually I explain to retreat patients that examination continues into the treatment. I warn of risks of finding fractures and other possible outcomes.

I just closed up the access on a first visit for retreatment on #30 through a crown. Internally, I found a fracture extending well past midroot down the distal. Probing depths were 2-3mm and there was no radiographic signs of crestal bone loss or lateral ligament widening. The fracture was not the cause of the previous treatment's failure, and her symptoms will likely resolve, but I still recommended abandoning this course of treatment. A dental implant will be more predictable in the long term. I offered to complete the treatment if the patient was okay with a guarded prognosis. This is an example of the type of fracture that I would love to be able to see on CBCTs, but I'm not sure the technology is there yet. Any luck with those Jason?

Dr. P, Thanks for the case. I think that it is in...

2011-12-26T16:27:35.082-08:00

Dr. P,

Thanks for the case. I think that it is intersting that even as an endodontist, we cannot always tell what is going on inside a tooth. Whether there is a perforation, missed canal or cracked root. Opening the tooth and examining under a microscope is often the only way to know with certainty, what is going on. Too often, dentists are condemning teeth as cracked or fractured and recommending an implant - when they simply do not know with certainty. Patients deserve more than a guess.

Cases like these prove the necessity for our speci...

2011-12-24T18:58:30.750-08:00

Cases like these prove the necessity for our specialty to once and for all, state that treating molars without a microscope is BELOW the standard of care.

R Salehrabi

Great Blog!! That was amazing. Your thought proces...

2011-12-24T01:55:54.571-08:00

Great Blog!! That was amazing. Your thought processing is wonderful. The way you tell the thing is awesome. You are really a master.

Orthodontist Malden MA