Crazy Rooted Tooth
Bryan McLelland, DDS, BSC
Owner and Surgeon at Liberty Oral and Facial Surgery
The interesting case that I want to discuss today is documented via these photos. The photos are fairly simple, and it just shows an upper third molar. In the first couple of shots it looks like some pretty dilacerated roots, but nothing too wild and crazy.
Then in the final picture you can see this dilacerated root that shoots off at about 90 degrees. When I'm taking out an upper third molar, I like to apply some pressure and let the tooth do the talking, and just guide the trajectory and the vector in the direction that it wants to come out.
With some gentle pressure, a little luck and some patience, sometimes a tooth with a ginormously dilacerated root such as this can come out attached to the tooth and without fracturing, which makes for a much better morning.
For the full "'Crazy Rooted Tooth" podcast episode click here.
For more interesting cases, and to listen to more full episodes visit DentistBrainCandy.com or text "CANDY" to 77948
Sr Dental Surgeon. at Path Darshak Charitable Medical Center Borivali West Mumbai 400092.
8 年I also have come across many such cases with curved roots may be at times two or three roots, at times fused absolutely and at times all deviated in different directions in mandibular third molars. It, then is tough time extracting such impacted teeth too. Upper third molars are often ankylosed and decayed too and come out with difficulty at times requiring stitches for injured palate.
Peridontist
8 年Do you still remove the tooth that has the nerve going through the roots or do you just do coronectomy?
Owner and Surgeon at Liberty Oral and Facial Surgery
8 年Yup. Yesterday I had a lower molar with the nerve through the center of the roots...
While lower teeth are usually harder, when uppers are nasty they can be quite a challenge . This is the classic "dancing octopus " upper than can be tough. Cheers!