From: Carlos Heilborn 

To: ROOTS 

Sent: Thursday, February 22, 2007 6:01 AM

Subject: [roots] 2 post removals & retreat



Two cases that took a lot of time I think Images can tell the story,
What do you suggest for improving? Thanks - Carlos





From: Carlos Heilborn
To: ROOTS
Sent: Friday, February 23, 2007 6:42 AM
Subject: [roots] Another post removal case

This patient (Doctor) came to the office with severe pain on the left side of his lower jaw, referred to the ear,
very sensitive when he bites over the molars.

I could see an expanded buccal cortical bone related to the first lower left molar very sensitive to percussion.
Dx. Peri Radicular inflamation (a strip perf was also considered as a possible feature)
Tx Plan Non surgical retreat.
Took me a long sesion to cut, and retrieve the mesial post, it was an articulated cast post cemented with GIC a few years before.
Found two canals in mesial root, could go to length in MB but not in ML
Could not get patency nor drainage neither
Protaper Plus tech
MAF 40
NaOCl 5,5%  Ultrasonically activated and EDTA 17% as final rinse for 3 min
Caoh + CHX for 30 days
MTA in ML
Guttapercha and Grosmann sealer In MB with hybrid thermoplastic compaction and vertical finally.
the arrow poins a possible lateral canal (related to the lesion) that could be filled
Control Rx with new restoration cemented (not mine)
If I had to do a this case again I would remove the distal posts also, in order to prevent a placement of such a big post in mesials
and prevent a strip perf in future. Comments and critics are always welcome
Thanks in advance and best regards from Asunción, Paraguay

PS Do any of you think that an implant could have been a first option here?