From: Fred Barnett
To: ROOTS
Sent: Friday, May 16, 2008
Subject: [roots] Anterior retreatment and bleaching

From one of my residents.........

12 yr old girl, hx of trauma presented with pain and swelling above 8. Previously treated and retreated. GP to the
cavosurface which was an interesting approach I hadn't seen before. 1st 3 apts disinfection- 2 flareups on #8 (half of the
number of my entire residency), 2 rounds CaOH2, 1 round of Bimix because there was persistant pain and suppuration after 2
rounds of CaOH2. Collatape matrix, MTA plug, then syringed Triage Glass Ionomer on top of MTA with a purple tip. (I wasn't
going to leave the canal empty and I didn't know if CaOH2 would mess up the MTA so I used a layer of glass ionomer on top
of the MTA). Then another layer of triage at the CEJ so I could safely use my internal bleaching material. After the
bleaching, fiber post and core, and composite vaneers (the dentist wanted to do some crowns here, so I did the composites
myself). The orthodontist had the cant off so the esthetics were compromised some and I didn't want to prep out the mesial
contours to fix it.

I wish the layers were as clean as Marga's. But she was happy withe the esthetics, and all symptoms an supporation
resolved after the bimix apt.

Would anyone have attacked this differently? - Mike