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Acute apical abcess : routine premolar - 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: Maarten Meire
To: ROOTS
Sent: Thursday, July 16, 2009 7:01 PM
Subject: [roots] I like premolars

I posted the first case earlier on roots, I think about 2 years ago. Finally I can show you the follow up!
Patient was referred because of acute apical abcess on this root filled tooth. Lateral LEO, POE became evident
after retreatment. Follow up satisfactory.

Second one is a routine premolar case from this week. I like these a lot.

Third one is a tougher one, also from this week: history of acute abcess with severe facial swelling.
After AB treatment, symptoms went away. Upon entry (a few weeks later), a soft swelling was palpable in the
buccal fold. After cl&sh, I was not able to get both canals dry, so Ca(OH)2. One day postoperatively,
flare-up: swelling and pain, so AB needed. Three weeks later, I could finish the case. Canals were dry,
and I packed them with warm vertical condensation (Schilder technique  la Terry P.). What bothers me is the
huge amount of sealer in the PDL on the mesial. A bit too much for a lateral canal? Vertical root fracture
possibly? What are your thoughts?

Last one is the first case I did with GTX series. Shaping canals with GTX is quite different from non-landed
files like Protapers of TF! - Maarten

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