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Endo tips    Better Endo    Endo abstracts    Endo discussions

14 year CBCT recall:Mesiolingual root Tooth #14,Tooth #15
The opinions and photographs within this web page are not ours. Authors have been credited
for the individual posts where they are.

From: Terry Pannkuk
Sent: Friday, May 21, 2010 11:13 AM
Subject: [roots] 14 year CBCT recall Mesiolingual root (#14), #15 treated today

Iím doing these long-term recall CBCTís for free so I'ím getting quite 
a few of them.  Hereís one from this afternoon. The patient presented 
as an emergency (exposure, pulpitis,  #15)  Itís surprising how many 
separate mesiolingual roots Iíve seen in a row lately.  These types 
of cases are very dangerous if access is poor; mesial wall
extension is critical .  I treated this patient in January, 1996.   
PAís attached; patient in temps, crowns to be replaced.

#15 had a similar MB2 which was closer to the palatal root than the MB1.    
I didn'ít take a post-treatment CBCT because the patient was getting enough 
rads as and was tired from this being a single visit  emergency.
I tried to map the canals through the transverse sections after I completed 
the case in retrospect knowing where the canals were from the access and 
post-treatment radiographs:

The CBCT didnít help me treat #15 but it did present interesting information 
that explained what I was doing and if I get a chance, and the patient is 
willing/interested, Iíll get another one soon to see how it looks
after treatment.

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3 BM canals
Confluent canals
Clean premolar
Sensitive to percussion
7 canals lower molar
Sinus implant
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Hess anatomy
Rare surgery
Molar EICR
Hyperaemic pulp
Palatal fracture
MB2,MB3,DB & DB2
Two mini molars
Amalgam replacement
Little mouth opening
Perio pockets
Apical abscess
4 canals lower molar
Glass fiber post
Tooth #8 and #9
Pulp piercing
Restorative failure
Tooth #18 Pulp test
CBCT perf repair
12 year recall
Probable endo tooth
15 year recall
4 year recall
CBCT - Lesion size
Resorption on CBCT
Crown root fracture
Lateral luxation
Lateral lesion
PA lesion diagnosis
Large Post