14 year CBCT recall:Mesiolingual root Tooth #14,Tooth #15

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14 year CBCT recall:Mesiolingual root Tooth #14,Tooth  #15

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

I’m doing these long-term recall CBCT’s for free so I’m getting quite a few of them.  Here’s one from this afternoon.
The patient presented as an emergency (exposure, pulpitis,  #15)  It’s surprising how many separate mesiolingual
roots I’ve 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.   PA’s 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’t 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 didn’t 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, I’ll get another one soon to see how it looks
after treatment.