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Endo tips    Better Endo    Endo abstracts    Endo discussions

21 year recall - Courtesy ROOTS

The opinions and photographs within this web page are not ours. Authors have been
credited for the individual posts where they are - www.rxroots.com
From: Terry Pannkuk
To: ROOTS
Sent: Saturday, July 31, 2010 7:44 AM
Subject: [roots] 21 year recall

Hereís a lower molar I treated 21 years ago: 
(PA radiograph series attached above)

1989: treated the tooth in one visit, did not place the core.  
Patient was stressed out and had a miscarriage
during this period.

1990: recall patient was still having percussion sensitivity 
and was aware of the tooth

1991: recalled patient and she was having same symptoms but 
thought maybe better I mentioned the diffuse
PA radiolucency and suggested PA surgery, and the 
possibility of a root fracture.

2010 (Today):  She came in for another tooth to be treated by 
my partner (tooth #2)  and had a Sirona CT disk
with her.  I cut and pasted the images of the CD instead of 
taking a Kodak.  The tooth is still there and feels
perfect.  There looks to be some slight PDL space widening 
of the MB PA area but it could be burn out scatter
from the scan (who knows).  Itís just another conditional 
success case.  There is a comment in my notes
from 1991 that she said, I can live with it.  
This was after I suggested a differential dx including
root fracture and the possible need to perform endo surgery. 
- Terry

Protaper flaring
6 yr old Empress
Cvek pulpotomy
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Resin core
BW importance
Bicuspid tooth

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5 canaled premolar

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Premolar 45
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