An Example of Imperfection.
Retreatment, Surgery September 9th, 2008
Everyone likes to show off their best work, but when can you remember being at a continuing education presentation and the presenter shows off work that they have produced that is less than ideal?
Here is a case that was fraught with issues from the beginning:
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- Pre-op film, root canal redo needed. Note canal at apex is not centered in root, probable apical transportation during initial root canal.
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- Redo finished. Lesion at tip of root has increased in the 4 months between consultation and treatment.
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- One year later, lesion has gotten a lot bigger. Not good.
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- Apical root resection surgery done. I had to bevel the root-end more than I liked because of restricted access from a tight lower lip.
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- One view of the resected root end.
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- Another view. You can see the gutta-percha where the canal exits the root.
The patient will be on a recall schedule with me for the next year or two while I keep tabs on healing within the jaw bone. Hopefully the problem of chronic infection from this tooth is solved. Options are very limited now if the infection persists.
September 22nd, 2008 at 8:19 pm
I have nothing useful to say… so I’m just going to say, ‘oh look, more teeth’
Hi Peri! When’s your downtime? So I know when I can expect more good reading from you?
(fragileheart’s last blog post: Monday Madness: The Boob Tube Edition)
September 25th, 2008 at 6:41 pm
I am never down. Always up — thanks to the products that I keep getting spammed about on here.
September 27th, 2008 at 7:18 pm
LOL I don’t think I want to know….
October 6th, 2008 at 12:58 am
How cool! I didn’t know you taught CE courses. I have been recently toying around with that idea as a long-term goal. I don’t know too much about CE courses – for example how long would I have to be practicing to have a enough credibility or confidence to have a successful course? What is the process for putting one together?
It seems like it is a lot of fun – I hope you did/will have fun with it!
October 6th, 2008 at 6:03 am
The vast majority of CE is sponsored, either by a dental school, or companies in the dental industry. The sponsor helps to organize the event (catering, CE point certification, venue, advertising) while you provide the lecture.
Generally to become an “authority” in whatever field you’re going to be talking about you’ll need to be on faculty if the dental school is sponsoring, or if the talk is company-sponsored, you need to have worked extensively or been certified (eg. CEREC) with their product(s).
Being a specialist kinda automatically credentials you for talking in your field because of the extra education.
I don’t do it much anymore because of my lack of free time to put material together. Every now and then, however, I get calls to talk that I decide to accept.
November 11th, 2008 at 1:31 pm
One of the best CE courses I ever went to was given by a periodontist (who incidentally used to tutor me as an under-grad, and who used to show up at least altittle bit drunk. Heh.). His opening line was pretty much “I can show you cases of work I’ve done which turned out pretty well. But that’s not really interesting. So I’m going to talk to you today about one of my screw-ups”.
He then proceeded to show an implant case of his that went horribly pear-shaped. It was fascinating.
Recently from LD: )
November 12th, 2008 at 5:46 am
Hi LD, long time no hear! Hope things are going well with you.