Relief Cuts/Diastema Widening April 2016 This specimen has had the 100-arcade reduced to show approximate levels at which pulp is exposed. But my interest is focused on other issues. In my hands, periodontal disease is best treated by proper equilibration and air abrasion with prophy powder. The areas that do not respond to this treatment are often corrected with relief cuts/diastema widening. A minor mitigation at 108-9 may well have been indicated if food was packing but a full medial to lateral procedure was demonstrated at 109-10. This particular attempt was too invasive of the 110, particularly at the buccal extremity but I find this treatment first published by James Carmault, to have almost a 100% success rate in eliminating food packing and continued periodontitis. Others will argue that this is too invasive and less is more. Others will point out that the continuous of enamel in the interproximal space will cause the teeth to be weakened and result in fracture. I have seen the latter in only one case out of several hundred procedures. 3-4 mm of crown can usually be removed on either side of the diastema at the occlusal surface and if tapered to the gingival level, will not expose pulp. Another case of what you cannot see without a radiograph The referral of this 10-year-old horse was specifically for the extraction of a shattered 107 to be performed under the supervision of the presiding clinic veterinarian. He requested a post op radiograph to evaluate the presence of any remaining 107 fragments. It became immediately obvious that major pathology existed in the 108 which was not apparent orally. All pulps had been probed and there was no facial swelling or nasal discharge. The extraction was quite difficult due to the bulbous swelling noted in the image. It is likely
Relief Cuts/Diastema Widening This specimen has had the 100-arcade reduced to show approximate levels at which pulp is exposed. But my interest is focused on other issues. In my hands, periodontal disease is best treated by proper equilibration and air abrasion with prophy powder. The areas that do not respond to this treatment are often corrected with relief cuts/diastema widening. A minor mitigation at 108-9 may well have been indicated if food was packing but a full medial to lateral procedure was demonstrated at 109-10. This particular attempt was too invasive of the 110, particularly at the buccal extremity but I find this treatment first published by James Carmault, to have almost a 100% success rate in eliminating food packing and continued periodontitis. Others will argue that this is too invasive and less is more. Others will point out that the continuous of enamel in the interproximal space will cause the teeth to be weakened and result in fracture. I have seen the latter in only one case out of several hundred procedures. 3-4 mm of crown can usually be removed on either side of the diastema at the occlusal surface and if tapered to the gingival level, will not expose pulp. April 2016 Another case of what you cannot see without a radiograph The referral of this 10-year-old horse was specifically for the extraction of a shattered 107 to be performed under the supervision of the presiding clinic veterinarian. He requested a post op radiograph to evaluate the presence of any remaining 107 fragments. It became immediately obvious that major pathology existed in the 108 which was not apparent orally. All pulps had been probed and there was no facial swelling or nasal discharge. The extraction was quite difficult due to the bulbous swelling noted in the image. It is likely
Cases+Jan+16-Dec+16.docx