I won't risk it. How do you SEAL the pulp stump???
Guy W. Moorman, Jr., D.D.S.
The Swamp
Douglas, GA 31533
912-384-7400
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From: William Domb [mailto:wmdomb@verizon.net]
Sent: Friday, July 26, 2013 7:15 AM
To: gmoor@windstream.net; spikedds@gmail.com; 'Ray Voller'
Cc: 'Terry Frey'; 'ACE'
Subject: Re: [ACEsthetics] Apexification/apexigenesis
Actually not borne out by the experimental evidence once ozonated.
regards
bill domb
From: Guy Moorman
Sent: Friday, July 26, 2013 2:32 AM
Cc: 'Terry Frey' ; 'ACE'
Subject: RE: [ACEsthetics] Apexification/apexigenesis
David, I never can find a good reason for leaving a hole in a tooth after years of experience watching bridge abutments be totally destroyed in six months when they come loose with minute exposure. Imagine what leaving a massive hole allows. The process of decay WILL start.
Guy W. Moorman, Jr., D.D.S.
The Swamp
Douglas, GA 31533
912-384-7400
This email message and any attached files are confidential and are intended solely for the use of the addressee(s) named above. This communication may contain material protected by patient rights, work product, or other privileges. If you are not an intended recipient, you have received this communication in error and any review, use, dissemination, forwarding, printing, copying, or other distribution of this email message and any attached files is strictly prohibited. If you have received the confidential message in error, please notify the sender immediately by reply email message and permanently delete the original message.
From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of David R. Boag DDS
Sent: Thursday, July 25, 2013 7:41 PM
To: Ray Voller
Cc: Terry Frey; ACE
Subject: Re: [ACEsthetics] Apexification/apexigenesis
But I've gotta tell you that it would drive me NUTS having a big 'ol hole in my tooth like that with food getting down in there. You are correct about faster remin leaving it open. How close to the pulp do you come before closing it, Ray? Or don't you?
DRB
On Jul 25, 2013, at 7:12 AM, Ray Voller <drvoller@comcast.net> wrote:
Because it will remineralize faster when exposed . & these generally aren't sensitive.
Sent from my iPhone
On Jul 24, 2013, at 11:36 PM, David Boag <spikedds@gmail.com> wrote:
I know what you suggested works, Ray, but a hole like that in a molar of mine would drive me NUTS! Why not ozone, Caphosol, and then Fuji IX Extra as a temp and come back and do final restore later?
Also, what if the tooth is sensitive if you leave it?
On Wed, Jul 24, 2013 at 4:02 PM, Dr. Ray Voller <drvoller@comcast.net> wrote:
I would do this.
Remove the gross decay, hit with ozone, DO NOT close up the cavity prep, give them some Caphasol, and have them apply it judiciously to the cavity prep 2-3 x/day for a month or so, bring the patient back in, fill with RMGI, and restore with composite of your choice.
You'll have a closed apex just as in the case I'm illustrating.That's EXACTLY what this patient did!
Notice the closed apex and the additional amount of root formation that occurred after we 'apexified' the cavity prep? Ozone and caphasol. WONDERFUL stuff!
Ray----- Original Message -----
To: ACE
Sent: Wednesday, July 24, 2013 2:18 PM
Subject: [ACEsthetics] Apexification/apexigenesis
I have a small 7 year old little girl in the chair as a new patient. She has severe decay on #3 & #19 that is into the pulp, but no obvious abscessing. However, the roots are not totally developed with apical closure. What would you all use to try and get these teeth to continue to develop to total apex formation? Would you remove pulpal tissue from chamber totally? What would you seal the teeth with restoratively?
Thanks .... Terry
J Terry Frey, DDS
Advanced Dental Care
623 N State St/PO Box 1008
North Vernon, IN 47265
(Ofc)812-346-6884
(Cell)812-592-4057
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