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Another calcified and previously perforated - Courtesy ROOTS
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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: Nuria Campo To: ROOTS Sent: Saturday, July 26, 2008 1:26 PM Subject: [roots] Fwd: Another Calcified... and previously perforated Female 50 yo. Referral find out buccal sinus tract near #9 in routine yearly check up. Asimptomatic. Previous "Root canal Fill" >10 y ago in patient words + buccal porcelain work ( I donīt have the english word for "carilla") 3 y ago. Diagnosis: Calcified Metamorphosis secondary to previous trauma + false path with lateral perforation result + PAC and sinus tract. I tried to recover the original root canal. At the time Iīm 4-5 mm to the supossed POE. I removed gutta percha of the false path. And I stopped. Dressed with CA(OH)2. Really i donīt know how to manage the case if the sinus track donīt close. Can you give any advice? - CT Dental Scan can help in order to see if the apical 1/3 could be patent, or if Iīm in the right buccopalatal direction? I donīt have experience with that but I guess that it doesnīt worth. - Do you follow deeping? I consider the perforation risk is hight. - Rationale time dressing protocols. - Next step options if the sinus tract donīt close. Seal with MTA the false path and gutta percha + sealer and follow up with delayed SRCT if the sinus tract donīt disapear. Or Surgycal access in the same visit and in any case, try to retroclean and shape the apical 1/3 if its patent and seal the apical POE and the perforation POE with MTA? - Nuria Campo
