Resorption - Laser Dentistry Forum

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February 23, 2005 at 12:53 pm #2934 Reply

dkimmel
Spectator

Just an interesting case of resorption.

https://www.laserdentistryforum.com/attachments/upload/IMG_1748 Medium Web view.jpg” border=”0″>

Did a little flap. Cleaned out the area with the MD. 1W 13%water 40% air defoucused. Placed a little Grestore. Painted inside of the flap that inserted into the defect at the same setting defocused and closed the area up.

February 23, 2005 at 1:47 pm #7328 Reply

N8RV
Spectator

Good job, David. I always cringe when I see these things! What’s the long-term prognosis on a restoration like this?

— Don

February 23, 2005 at 7:06 pm #7323 Reply

dkimmel
Spectator

[img]https://www.laserdentistryforum.com/attachments/upload/xray1scott.JPG[/img]
[img]https://www.laserdentistryforum.com/attachments/upload/xray2scott.JPG[/img]

Good question. I have no clue. This is a similar case done the same way. The case is over 3 years old and still stable. The alternative is to extract and do an implant , fixed pros or removable pros. Seems like it is worth the risk as long as you monitor it .

February 24, 2005 at 12:37 am #7329 Reply

Swpmn
Spectator

Looks like a real nice job, David.

Did the tooth have root canal therapy?

Al

February 24, 2005 at 5:23 am #7330 Reply

brucesown
Spectator

I’ve had a few resorption cases over the years and they always present a bit of a challenge. I have a patient coming in a couple of days who has a small resorption on the lingual of a lower central incisor. (41 for the canucks in the audience) I was thinking of doing a gingivectomy on it to expose the area entirely, and relieve some bone to establish biological width. Hopefully once it was healed, the defect would be supragingival and therefore unable to further resorb. I was thinking of using something like Fuji IX (my new best friend) to restore it. Any thoughts on this treatment plan? Would you do endo?

Any ideas greatly appreciated, I respect the people on this board a great deal; it is very comforting to have a place like this to turn to.

February 25, 2005 at 2:12 am #7322 Reply

dkimmel
Spectator

Bruce,
Sounds like a workable plan as long as you don’t have to remove too much bone. These are always tough and unpredictable. Good luck.
Allen, The tooth was vital and I felt this was external resorption. It was pretty deep and you can see the canal if you look hard enough. I do expect to have to do endo.

February 25, 2005 at 2:26 am #7327 Reply

Glenn van As
Spectator

David: clap clap clap…..very nice case and well handled. You didnt have the scope did you, its tough to do these cases without very high mag and the right tools to remove the tissue (TriChloracetic Acid works well) and the right stuff to restore them……nice idea on the Geristore.
Way to go……..no anesthetic right!!

GRIN…..just kidding.

glenn

PS is that the Waterlase handpiece, was it hard to look around with the scope?

Glenn

February 25, 2005 at 5:16 pm #7325 Reply

drnewitt
Spectator

David
How arre you finding the Geristore for these subging cases? are you using any bond? Drying the area or keeping it a bit moist? Have you been finding the Geriostore to offer good marginal seal and to stay put?

February 25, 2005 at 11:53 pm #7324 Reply

dkimmel
Spectator

I am bonding. The trick is keeping the field dry. This case was an easy one to keep dry and I feel pretty good about geting it cleaned out. Still mayneed to do endo. The Grestore holds up great and the bone level appear to be stable. The pocketing on the older case is 3mm and heathy. I believe we have LJE attchment which is not as stable as we would like but seems to work if the patient OH is good.

February 28, 2005 at 1:34 am #7326 Reply

Dan Melker
Spectator

Geriostore appears to be quite biocompatible as many articles have sated. 2 keys to success:
1. leave only sound tooth structure
2. restoring in a dry environment.
Success hinges on those 2 factors.
Thanks
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