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
Second case
