From: Guy Moorman
To: ROOTS
Sent: Friday, April 30, 2010 12:08 AM
Subject: [roots] 30

Patient is a referral from another office.  I’ll preface by noting that I did not like the fill on the bicuspid
after the angled shots and went back and redid it.  That can be noted in film #1.  Both 29 and 31 were suffering
from an acute pulpitis.  The bicuspid have a blatant exposure on a new restoration done at the same time that
new crown on 31 was seated.  That’s always fun when you place a new crown and it blows but in the case the patient
was hot and cold sensitive and told the dentist so placing the crown was his mistake.  I was able to go through
the crown but in my report I recommended he redo it since it was supposed to be new.  The case was done with
TFs and K3s to finish apexes and give me a true taper.  Resilon and Real Seal was the obturant using
System A/warm vertical or as my friend TP says, a mush of trash and dentin chips.

But the purpose of this post is #30.  Please no heat but this was done by an endodontist in a community in the area.
I can’t help what I can’t help.  I truly do not believe the inter-radicular lesion was present when the original
endo was done.  But it is there now and having pointed it out, the dentist wants it addressed.  Sadly, he did not
notice it on his PAX.  My question is how should this be addressed?  Is it a strip perf, internal resorption,
external resorption?  It should be a surgical address I’m sure but I’ve got to find someone capable of doing
this type surgery.  I told her that it might be more prudent to just remove it and place an implant.
That’s what I’d do in my mouth and I told her that.  She is totally asymptomatic since treating both 29 and 31
so this lesion is not an issue as far as discomfort.  All advice is appreciated.  I can get a CT done at the
hospital to determine the actual location and positioning of the lesion - Guy