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A triple play in the ninth inning
JOURNAL OF ENDODONTICS I VOL 6, NO 12, DECEMBER 1980
A triple play in the ninth inning Simon Klein, DDS, PC, and Robert G. Wendt, DDS
T h e year was 1975. T h e p a t i e n t was a handsome, grey-haired architect who was anxious to retain his teeth. T h e culprit was the u p p e r right second molar which had cracked u n d e r masticatory pressure. E x a m i n a t i o n disclosed a hairline crack which penetrated into the pulp c h a m b e r a n d partially separated the lingual root from the two buccal roots. T h e tooth was a c h i n g a n d sensitive to percussion. T h e patient was referred to a n e n d o d o n t i s t for root canal therapy. Root canal treatm e n t was started on all three canals, a n d a temporary crown was placed. All symptoms subsided. U p o n completion of the root canal treatments, the tooth was protected with a gold crown. T h e first radio-
PHILADELPHIA DENTAL FIRSTS
AAE Philadelphia See you in'81
graph shows the tooth before treatment in August 1975; the second radiograph shows the same tooth after root canal t r e a t m e n t a n d a cemented gold crown; a n d the third radiograph was taken in A u g u s t 1979. C o m p l e t e l y a s y m p t o m a t i c after four years, the treated tooth has f u n c t i o n e d well a n d has not been sensitive to percussion. There was no a p p a r e n t bone loss, a n d no periodon-
tal involvement. It would a p p e a r that in selected cases such teeth, which might have been considered hopeless, may on occasion be preserved by the above indicated t r e a t m e n t . Dr Klein practices endod(mticsin Huntington, New York. Dr. Wendt is an endodontist practicing in Huntington, NY. Address requests for reprints to Dr. Klein, 580 Park Ave, Huntington, NY 11743.
1767--MICHAEL POREE was the first recognized dentist in Philadelphia. 1756-1831--JAMES GANDETI'E used elastic gold bands to secure artificial teeth when attached to living ones; he also treated George Washington several times. 1780-JOHN BAKER was the first "specialist" in preserving teeth. 1760-1810-JOHN GREENWOOD made many dentures for George Washington. 1778--First American Pharmocopeia written by WILLIAM BROWN. 1794-JOHN REA BARTON designed Barton Bandage to support jaw fracture. 1801--BENJAMIN RUSH, one of the signers of Declaration of Independence, published reports of focal infections. 1816--MARCUS BELL was first to use gold foil in America. 1839--First dental supplier of manufactured instruments. 1840-ROBERT ARTHUR, one of founders of Pennsylvania College of Dental Surgery and first dean, introduced the use of cohesive foil. 1847--First dental newsletter was Dental Cosmos quarterly at 50r per year. 1848--THOMAS E. EVANS made the first vulcanite denture. 1833-1899-WILLIAM BONWILL invented anatomical articulation, dental engine, and porcelain crown.
1862--Philadelphia Dental College was organized and finally merged with Temple University 1907. 1891--EDWARD KIRK, editor of Dental Cosmos, the first dental magazine, later became dean of Evans School of Dentistry.
A triple play in the ninth inning Simon Klein, DDS, PC, and Robert G. Wendt, DDS
T h e year was 1975. T h e p a t i e n t was a handsome, grey-haired architect who was anxious to retain his teeth. T h e culprit was the u p p e r right second molar which had cracked u n d e r masticatory pressure. E x a m i n a t i o n disclosed a hairline crack which penetrated into the pulp c h a m b e r a n d partially separated the lingual root from the two buccal roots. T h e tooth was a c h i n g a n d sensitive to percussion. T h e patient was referred to a n e n d o d o n t i s t for root canal therapy. Root canal treatm e n t was started on all three canals, a n d a temporary crown was placed. All symptoms subsided. U p o n completion of the root canal treatments, the tooth was protected with a gold crown. T h e first radio-
PHILADELPHIA DENTAL FIRSTS
AAE Philadelphia See you in'81
graph shows the tooth before treatment in August 1975; the second radiograph shows the same tooth after root canal t r e a t m e n t a n d a cemented gold crown; a n d the third radiograph was taken in A u g u s t 1979. C o m p l e t e l y a s y m p t o m a t i c after four years, the treated tooth has f u n c t i o n e d well a n d has not been sensitive to percussion. There was no a p p a r e n t bone loss, a n d no periodon-
tal involvement. It would a p p e a r that in selected cases such teeth, which might have been considered hopeless, may on occasion be preserved by the above indicated t r e a t m e n t . Dr Klein practices endod(mticsin Huntington, New York. Dr. Wendt is an endodontist practicing in Huntington, NY. Address requests for reprints to Dr. Klein, 580 Park Ave, Huntington, NY 11743.
1767--MICHAEL POREE was the first recognized dentist in Philadelphia. 1756-1831--JAMES GANDETI'E used elastic gold bands to secure artificial teeth when attached to living ones; he also treated George Washington several times. 1780-JOHN BAKER was the first "specialist" in preserving teeth. 1760-1810-JOHN GREENWOOD made many dentures for George Washington. 1778--First American Pharmocopeia written by WILLIAM BROWN. 1794-JOHN REA BARTON designed Barton Bandage to support jaw fracture. 1801--BENJAMIN RUSH, one of the signers of Declaration of Independence, published reports of focal infections. 1816--MARCUS BELL was first to use gold foil in America. 1839--First dental supplier of manufactured instruments. 1840-ROBERT ARTHUR, one of founders of Pennsylvania College of Dental Surgery and first dean, introduced the use of cohesive foil. 1847--First dental newsletter was Dental Cosmos quarterly at 50r per year. 1848--THOMAS E. EVANS made the first vulcanite denture. 1833-1899-WILLIAM BONWILL invented anatomical articulation, dental engine, and porcelain crown.
1862--Philadelphia Dental College was organized and finally merged with Temple University 1907. 1891--EDWARD KIRK, editor of Dental Cosmos, the first dental magazine, later became dean of Evans School of Dentistry.