Crack of the Week.
Fractures March 15th, 2007
Although the lesion at MB is more significant apically, I get a little worried when I see periradicular PDL “looseness” into the furcation. Especially on a solitary molar with no crown that is an abutment for an RPD.

March 15th, 2007 at 6:45 pm
eek, check out all those pin amalgams! do you see may cracks as a result of those? i HATE those things!
March 15th, 2007 at 10:11 pm
Actually no. The worst thing that I see with pins is sometimes perforation through the tooth to the outside. It’s rare that I’ll see endo issues or fractures (even more rare) from pins–I call them “staples” in front of my patients because they seem to understand that better.
March 17th, 2007 at 4:23 pm
oh dear… i start my first ‘real’ endo on tuesday… wish me luck!
we’ve already had one classmate fracture a tooth in a patient taking bisphsophanates so that’s probably the WORST i can do!
March 17th, 2007 at 5:24 pm
Good luck, I’m sure it’ll go fine.
Is there a suggestion that the bisphosphanates led to the fracture? Did the fracture happen during an endo?