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Was that First Maxillary Molar Restorable? A 7 years Post Operative Outcome

May 31, 2012 By Dr Pierre Pizem 1 Comment

Dental operating microscope (D.O.M.), D.O.M. versus partially calcified systems, Root Canal Treatment Pre-Therapy 357016-1  Dental operating microscope (D.O.M.), D.O.M. versus partially calcified systems, Root Canal Treatment Per-Therapy 357016-1

Dental operating microscope (D.O.M.), D.O.M. versus partially calcified systems, Root Canal Treatment Post-Therapy 357016-1

Case Study Number 357016   Implant versus natural tooth

Both implants and root canals have similar success rates (above 90%) so the remaining concerns are periodontal status and tooth restorability. If it not restorable, or if bone loss is to important, then prognosis is bad and tooth should be extracted. In that case implant would be the righteous option for a fixed prosthesis.

Periodontal apparatus is fine but a huge part of the existing amalgam and tooth on this maxillary molar just broke. Patient is in pain because of pulpal severe inflammation. Patient has a private insurance coverage which does not include implant surgery. Saving her own tooth will spare her this big expenditure.  After thoughtful reflection and discussion with his patient, referring dentist decided to incorporate this tooth as a 16, 15 X 13 bridge abutment.

Patient is in good health, radiographic examination shows some partly calcified canals, the mandatory rubber dam is not difficult to install, root canal procedure is achieved with no complications and patient went back to see her own dentist who placed a long casted post in palatal canal.

This last X ray dental film is a seven years post operative control proving that his severely worn tooth could be used as a very effective abutment. Patient avoided implant therapy and above all preserved her own tooth.

Filed Under: Dental operating microscope (D.O.M.) assisted R.C.T., NEW CASES, What's new?, D.O.M. versus partially calcified systems Tagged With: amalgam, bridge abutment, calcified canals, dental implant versus natural tooth, implant, insurance coverage, necrosis, necrotic pulp, prognosis, root canal procedure, rubber dam, teeth restorability, worn tooth

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  1. [6:22:07 PM] DPFOC Shiva Khandelwal: Best Treatment dentist calgary says

    June 13, 2012 at 8:56 am

    Its really helpful information, thanks for share.

    Reply

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