Trudeau

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Trudeau

  1. 1. Endodontic Failure Axial Dentin Staged Access Root-form Appropriate ShapingRestoratively Driven Endodontics
  2. 2. Courtesy: Gary Carr
  3. 3. • Coronal Fractures• Vertical Root Cracks• Crown Fractures
  4. 4. Endodontic Failure Axial Dentin
  5. 5. Buccal/Lingual Axial Dentin Mesial/Distal Axial Dentin Enamel Restorativee Caries
  6. 6. Ng CC, Dumbrigue HB, Al-Bayat MI, Griggs JA, Wakefield CW. Influence of remaining coronal tooth structure location on the fracture resistance of restored endodontically treated anterior teeth. J Prosthet Dent. 2006 Apr;95(4):290-6.
  7. 7. Shaping and Post PreparationEndodontic AccessCrown Preparation
  8. 8. • Retention was lost when access was made through a crown• Placement of a post increased crown retention to greater than the original. Yu YC, Abbott PV. The effect of endodontic access cavity preparation and subsequent restorative procedures on incisor crown retention. Aust Dent J. 1994 Aug;39(4):247- 51.
  9. 9. Shaping and Post PreparationEndodontic AccessCrown Preparation
  10. 10. Axial Dentin Decreased Axial Crown Preparation
  11. 11. Premolar Access Axial Crown Preparation
  12. 12. Premolar Restored Axial Crown Preparation
  13. 13. Crown PreparationEndodontic Access Shaping and Post Preparation
  14. 14. Endodontic Failure Axial Dentin Staged Access
  15. 15. Solo Diamond,Patterson Diamond, Munce Football, Medium, Axis RazorTapered Diamond Discovery ¼ Size #368020M,850-014C 2.0mm Diameter
  16. 16. Munce Caries SS White SS White#4 Endo Guide 1A Endo Guide 2
  17. 17. EIE2 EIE2CT4 UT4
  18. 18. Premolar- Wishbone
  19. 19. Mesialized Access-Maxillary Molar
  20. 20. Mesialized Access-Maxillary Molar
  21. 21. Ectopic Pulp Horn
  22. 22. Dentin Conserving Access
  23. 23. Distalized Access-Mandibular Molar
  24. 24. Distal Dentin BridgeChoice
  25. 25. Endodontic Failure Axial Dentin Staged AccessRoot-form Appropriate Shaping
  26. 26. Courtesy: Gary Carr
  27. 27. .
  28. 28. In order to employ the warm gutta percha technique, the root canal must be shaped so that acontinuously tapering funnel iscreated with its narrowest diameter at the periodontal ligament and its widest diameter at the coronal opening or access cavity.
  29. 29. 1 Yr Recall
  30. 30. Postop
  31. 31. 2 Yr Recall
  32. 32. Post Op
  33. 33. 1 Year Recall
  34. 34. 2 Year Recall
  35. 35. 2 Year Recall-CBCT
  36. 36. Postop
  37. 37. 2 Year Recall
  38. 38. Endodontic Failure Axial Dentin Staged Access Root-form Appropriate ShapingRestoratively Driven Endodontics
  39. 39. Restoratively-Driven Endodontics• Decreases restorative failures by placing more definitive coronal buildups• Decreases coronal breakage by more conservative shaping and more conservative access forms• Reinforces teeth that have the potential to suffer from snap-off failures
  40. 40. Restorative Cases• Hard Cores• Endo Pedo• Trauma• ECIR• Esthetics

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