Are you seeing a lot of cracked teeth?
But, which ones should be saved? Extract them all???
(Some practitioners think so, but if it were my tooth…… I’d want to save, if possible, and if prudent.)
This distal angular defect is small, maybe only 15-20% of the entire *root* length; I’d save!!!! Perio is a 5mm ppd.
In cross sections, CBCT shows the distal angular defect with bony changes below the CEJ.
This distal angular defect is medium – more progressed, maybe ~40% of the entire *root* length; I’d be hesitant save!!!! Perio is a 6+mm ppd (sometimes interproximal measurements are tricky.) Not only would this be a major food trap, but it likely would only last 1 – 3 years after RCT/crown. Most individuals chose against the investment of time and resources with these odds.
Pain to biting, Distal fractured cusp and food impact, but NO BONE LOSS. Transillumination shows many many craze lines but no cuspal fractures and no M-D split.
Dx: Perio abscess due to the fractured cusp and food trapping
Tx: flossing and resto/crown
Was referred for ENDO! You can’t believe how happy this patient ended up being after I told them they did NOT need a root canal (at time of consult, at least).