Case Studies

Fractured Roots

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Five Year Follow-Up of Heroic Anterior Tooth Save:UPDATE

UPDATE: Recurrent Endodontic Disease After Initial Healing, 4 years later

Patient: 52 year-old (2014) male in excellent health

Chief Complaint: Patient reported a bump on the gums above his front upper tooth

Dental History: Patient reported a history of prior orthodontics as a child and previous endodontic treatment performed on the maxillary left and right central incisors in 1970 (teeth #’s 8 and 9). Surgical endodontic treatment had been performed years ago after a recurrent infection associated with the maxillary left central incisor (tooth #9)

Fractured Roots

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UPDATE 1 year Recall: Mandibular First Molar Presumed Split, but not.

Fractured Roots

Not all teeth that look split are split; expect the unexpected!

Patient: 49-year-old male with controlled hypertension and hypercholesterolemia

Chief Complaint: Swelling on the cheek-side of his right lower molar

Dental History: The patient reported having had a bonded resin filling material having been placed in his mandibular right first molar approximately 6-12 months prior to the time of examination. His dentist had reported a crown fracture and on a recent cleaning visit buccal swelling was noted with a 12 mm sulcular defect communicating with the buccal furcation. The dentist was certain the tooth was split and referred the patient to the author because the patient insisted upon wanting to see if the tooth could be saved.

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The Fractured Root-Crown Algorithm: When to Extract?

Fractured Roots

Fractured teeth present a diagnostic and treatment planning dilemma

The following is a proposed algorithm/decision tree for assessment, diagnosis, prognosis determination, and treatment planning:

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Hidden Split in a Mandibular Central Incisor

Fractured Roots
Jul 15, 2019

Emergency Maxillary Anterior Trauma

Fractured Roots
Jun 17, 2019

17 Year Recall: Hemisected Mandibular Molar

Fractured Roots
May 13, 2019

Anterior Tooth Trauma: Emergency Triage

Fractured Roots
Oct 22, 2018

15 year recall: Silver Point Retreatment

Fractured Roots
Sep 24, 2018

Demonstration of Crown-Root Fracture Repair

Fractured Roots
Aug 13, 2018

Definitive Assessment of a Crown-Root Fracture

Fractured Roots
Mar 19, 2018

Crack Management with Complex Root Anatomy

Fractured Roots
Nov 21, 2016

Endodontic-Implant Algorithm

Fractured Roots
Oct 10, 2016

Exploratory Access of Suspected Fracture

Fractured Roots
May 2, 2016

Technique for Exploration of Fracture

Fractured Roots
Jan 11, 2016

Mandibular Molar Access Demonstration Video

Fractured Roots
Nov 23, 2015