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 Second case
The opinions within this web page are not ours.Authors have been credited
for the individual posts where they are. - www.rxroots.com photographs courtesy: Jared
From: Fred Barnett
To: ROOTS
Sent: Friday, September 12, 2008 6:54 AM
Subject: [roots] cases #2

Here is a second case du jour from Einstein......

Fred

26 yo asian female presented in April for completion of #4.  
GPR started the case, did some shaping and your basic --
"banging around blindly" - couldn't figure out her lengths 
- so she punted for me to finish.    Premolars are always
deceiving -- and they always seem to test my patience.   
I looked for two visits for something more mesial in the apical
third...but couldn't find sh#t.   Toward the distal I could 
stick a .10 file in three apical spots.   Paper points had
blood on the lateral border, so I figure it was stripped.    
In retrospect, I could have obturated with MTA.    Also, had
it not been a irrev pulpitis case I would have probably 
taken it straight to surgery to see what was going on up there.
She needed more RCT's so I figured I may be lucky enough to 
get a recall.   I informed the patient of her options and
chose the "wait and see" approach.   Today she came in to 
complete #31.   Not the greatests of shapes a pretty straight
set of  roots, but it was clean.

#4 tested neg to palpation, and percussion.   
So did #19 and #18 (endo's I did between 4 and 31). Pt was happy.

Irreversible pulpitis somewhere else in the mouth has been 
my greatest aid in getting recalls. - Jared


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