Endopraktijk Ree

14/03/2025

It was a great honour and pleasure to contribute to the Let's talk Endo meeting in Sofia, Bulgaria, last weekend. Thanks to Maya Babanska MB Consult and her team for the warm welcome and the impeccable organisation, thanks to my co-presenter Mile Churlinov Churlinov & Churlinov to make this a memorable event, and thanks to the audience for their active participation! and good vibes.

09/03/2025

It was a great honor and pleasure to contribute! Thank you for the kind words and the impeccable organization!

☀️ „Добро утро, скъпи колеги!“

🌟 С този традиционен поздрав проф. д-р Марга Рий откри дългоочаквания ни семинар „Let’s talk ENDO“. Но зад топлите ѝ думи ние всъщност четем много по-голямо послание.
🌟 Да, скъпи дентални лекари, участници в „Let’s talk ENDO“. След семинара ще бъдете колеги не на кого да е, а на една от емблемите на световната ендодонтия!

💙 Благодарим ви, че сме заедно днес!
💙 Благодарим и на Марга Рий, че отново прие поканата ни да гостува в България и заедно да допринасяме за по-добра и успешна дентална медицина у нас!
💙 Благодарим ѝ най-вече за сърдечните думи към MB Consult и нашата Мая Бабанска, с които ни трогна до сълзи:

🎤 „Тъй като днес е Международният ден на жените, аз бих искала да изразя своето възхищение към Мая. Мая има голям принос за значителната промяна на денталното образование в България. Прави го през годините неотклонно и с много личен ангажимент към участниците в този процес, както и към собствената си компания. Тя не просто управлява компания. Нейната компания е едно голямо семейство!“ 🎤

💙 Благодарим ти, Марга Рий, че си част от това голямо семейство!

✨ Стараем се всеки ден, защото имаме много високи стандарти, към които да се стремим – твоите!
✨ Нямаме търпение да чуем всички твои напътствия за модерния свят на ендодонтията!
✨ Нямаме търпение да чуем и твоя партньор на сцената в днешния ден – великолепният д-р Миле Чурлинов!

💙 Успех от сърце на „Let’s talk ENDO“ Vol. 4!

Marga Ree Mile Churlinov Churlinov & Churlinov Endopraktijk Ree

17/05/2024

Cervical root fracture, 5-year follow-up

A 28-year old female fell from her bike during her holiday in France, and went to a hospital the next day. She was diagnosed with a complicated crown fracture of 21, luxation of 11, and a complicated cervical root fracture of 22. The original fragment that snapped off from 21 was re-attached.

The tooth with the cervical root fracture showed mobility 3, the dentist in France applied a splint, and recommended extraction of 22.
I saw her 1 week after the accident, and took a CBCT. It looked pretty hopeless.....

Since we had nothing to loose, I decided to remove the splint from 14-11 and 24 after another week, and to leave the splint on 21-22-23 in place for 3 months. All teeth tested vital, also 22.

We removed the splint after 3 months, and the tooth was still slightly mobile, but no pain anymore. I told the patient that she had to overcome her fear to use the tooth again in daily life, and that is what she did, step by step.
At the 1-year follow-up, the tooth didn't show any mobility and the patient was asymptomatic. All teeth tested vital.
Then she came with complaints after 2 years. I expected the worst scenario for the tooth with the cervical root fracture, but it was rock solid, tested vital and didn't show any probing depths. The pulp of 21 had become necrotic, and we did root canal treatment on this one.

At the 5 year follow-up, 22 was still stable, no complaints, fully asymptomatic.
A nice example of the healing capacity of an intra-alveolar root fracture in the cervical one-third of the root!

If you want to learn more about root and crows-root fractures, come to Deventer on May 30, where I will give a presentation on this topic, admission is free of charge!

See: https://www.colosseumdental.nl/academy/colosseum-dental-talks/ #/aanmeldformulier

28/04/2024

1 spot left for our Trauma course in June

I am very pleased to announce our next trauma course at the Endo inn in Oslo. Due to great interest after our first course in April, we have scheduled a second course in June, and currently there is only one spot left. Participants will receive 7 online modules on different trauma topics, that they can watch at home before the course takes place, so we can maximize the time dedicated to practical training.
We developed a special trauma model, on which we will do a variety of clinical exercises, including repositioning of luxated teeth, splinting, surgical extrusion with 180 degrees rotation and using the Benex Extractor on deeply fractured teeth.
In addition, we will also address several restorative procedures, including fragment re-attachment, reinforcing an immature tooth with composite and fiber posts and restoration of a tooth with a deep crown/root fracture by placing a post and build-up.

Endo Inn is a fantastic training facility with 12 stations equipped with microscopes and we use we the newest technology to teach our participants. Please look at the following link: https://www.endoinn.com/module-4-endodontic-and-restorative-aspects-of-traumatic-dental-injuries

02/12/2023

It was a pleasure to give an interactive presentation on dental trauma for the ADF meeting in Paris. 7000 participants have registered for the lectures, many parallel sessions, great atmosphere. And, after the lecture with my colleagues Maxime Drossart, Magali Hernandez, Michel Le Gall, there was champagne, and a great lunch with delicious wines! Thanks to Tara McMahon and Ninon Lebrat for organising this event! Of course there is also free time, to enjoy Paris, with its museums, nice neighbourhoods, shops with the newest fashion and of course the French Cuisine!

06/11/2023

We are pleased to announce our course calendar for spring 2024 for all 3 regular modules at www.endoinn.com . Endo Inn is now adding a 4th module in Dental Traumatology with Marga Ree. This is a unique course with many hands-on exercises and we’ve recieved great interest already! Please look at the following link: https://endoinn.com/module-4-endodontic-and-restorative-aspects-of-traumatic-dental-injuries

We are looking forward seeing you in Oslo during the first semester of 2024!

16/08/2023

Yesterday, I received my invite for the AAE 24 in LA. I will look back at more than 40 years of dental practice, at successful and failed cases. What have I learned over the years, and what would I have done differently today. Hope to see you in LA!

18/06/2023

Post removal and preservation of the existing crown⁣
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This 75-year old female presented with a sinus tract associated with tooth 11. ⁣
15 years ago, the crown on 11 needed replacement. As you can see, 11 showed a radiolucency, but the dentist thought it was not feasible to remove the fat and long post, so peri-apical surgery was recommended and carried out by an endodontist. ⁣
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15 years after the surgery, she presented with a sinus tract. I leaned towards retreatment, because there was hardly any space to do a decent retroprep and retrofill, due to the long post. ⁣
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I told her it was very likely that the crown had to be replaced, but we gave it a try through the existing crown. It was challenging and time consuming, but I managed to remove the post through the crown. After post removal, we used our Waterlase Iplus for LAI.⁣
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As you already might have guessed, the crown came loose at some point...but there was a decent ferrule, so we recemented the crown and placed Ca(OH)2⁣
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3 weeks later, the sinus tract was gone, and we finished treatment with an apical plug of RRM putty, followed by a fiber post in a composite core build-up.⁣

08/05/2023

Intentional replantation with 180 degrees rotation using the Benex Extractor in a complicated dental trauma case⁣
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I want to share my first Benex Extractor case with you, I am really impressed with this great device! I was surprised how easy and controlled the procedure went. ⁣⁣
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This 20-year old student was referred to me 2 weeks after the accident took place. Cervical horizontal root fracture and vertical crown-root fracture of 11, and an oblique cervical crown root fracture of 12. The dentist applied the splint, and asked me to proceed with further treatment. ⁣⁣
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My plan was to preserve both roots, provided there were no additional fractures. I performed endo in 12 and 11, and after having removed the coronal part of 11, I isolated the remaining part of 11 with a rubberdam, did root canal treatment in 11, left space for the post, extracted the root of 11 with the Benex extractor, and replanted it with 180 degrees rotation, so the more deeply fractured palatal side was moved to the labial side, which has a lower crestal bone height. This allows maintenance of more tooth structure. The Benex is great for preserving soft and hard tissue. ⁣⁣
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Keeping a dry field is a challenge, as was the build-up after replantation. You should leave the screw in the root, otherwise you cannot keep the root in place, and then place wooden wedges for initial stabilization. But, I couldn’t remove the screw without compromising the position, so I decided make a bridge of composite. The bridge was very stable, and after that, I removed the screw, and it was rather easy to place the post and make a very simple and basic build-up. Because of the composite bridge, I couldn’t use a matrix. After I was done with the build-up, and after attaching the tooth to the splint, I removed the composite bridge to facilitate oral hygiene.⁣⁣
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12 can be extracted and rotated 180 after 4-5 weeks, as soon as 11 is stable enough. There will be enough grip to use a forceps.⁣⁣
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05/05/2023

Having a great time in Chicago at the annual AAE meeting!