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The opinions within this web page are not ours. Authors have been credited
for the individual posts and photographs where they are. - www.rxroots.com

Addressing apical anatomy


From: Terry Pannkuk
To: ROOTS
Sent: Tuesday, May 25, 2010 11:43 AM
Subject: [roots] 23 year Recall with CBCT

Here’s a tooth you wouldn’t expect this patient to have on a long-term recall.  
Short-root, questionable crown-root ratio,  previous treatment didn’t handle 
the apical anatomy well.

Attached are the radiographs/photos and below is the CBCT capture and testing 
notes from 1987. Slight percussion and PDL space widening then,  gone 23 years 
later after the retreatment. This single anecdote seems to suggest that 
addressing apical anatomy is an important endodontic treatment objective. 
The perio is fine, although I had to floss out quite a few food particles
before taking the photo.

The patient is a 74 year old female.  I treated the tooth 11/13/87 -  Terry



That's mighty....And that means you have a great referral - his dentistry can 
stand the test of time and protect your endo :-) - Dmitri

and a great patient. - Kendel

Holy cow, three years after i was born ;-) Awesome recall- Ivan
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