This first digital radiograph was taken back in 2007.
I remember when I first saw him, about 20 years ago I thought his tooth was unrestorable and said I should extract the tooth. I didn't like the look of the mesial root, and after some discussion, we left it alone.
I invested in an intraoral camera in 2013, and this is what his tooth liked then. It didn't look great but was functional.
I bought my Cerec back in 2010, and at some stage, his tooth broke, or I convinced him to try out my new gadget. I don't have a picture, just the radiographs. It looks like it failed! Twice?
This was the tooth in 2018, and when I retired earlier this year, it was the same. In fairness, I have had a lot of success with my Cadcam. This isn't one of them
What is interesting is the tooth is functional. I don't remember any problems. No Antibiotics.
As an older practitioner, I definitely prescribed more antibiotics than is currently advised, especially when I was called out on my own without an assistant on a Sunday. What was interesting is many of these patients never returned for their extraction, and some returned a few years later and requested antibiotics to an extraction—a bit like the guideline for pericoronitis. As a lot of these AAA cases were noted on Compass from last March, I wonder if the data will show the timeline between the initial antibiotics and the final treatment?
Do you think after twenty years, he has regretted not having an extraction? Do you think we may be taking out teeth in our best interests, or the patients?
After a while, when using an ultrasonic scaler, my mind drifts off. Sometimes I even wonder what I am doing, and why? In March 2016 Mrs Collins isolated premolar supporting her CoCr -/p was M2 and bleeding. Desperate measures were required, so I sent her a YouTube video form the excellent group Perio Courses. In July 2020 she still has no bleeding, no mobility, and a lower denture she likes-even more unusual. She was the tipping point for my teeth4life APP.