Avulsion and luxation

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Avulsion and luxation - Courtesy ROOTS

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From: Marga Ree
To: ROOTS
Sent: Saturday, March 11, 2006 3:17 AM
Subject: [roots] Avulsion and luxation

This patient sustained an avulsion of 21 and a luxation of 11 two years prior to the consultation.
21 was stored in milk and replanted 10 minutes after the trauma. He presented with a double sinus tract
and a  significant resorption defect on 21. He wanted to save the tooth, in spite of the doubtful prognosis.
I placed Ca(OH2 for 1 month, and then an apical plug of MTA. Composite directly on top of the MTA in a
subsequent visit. Sinus tracts disappeared, and today he returned for a 9 months follow-up. It seems that
healing is taking place, the lesion has diminished in size significantly. I discussed the option of
extrusion of 21 with the referring dentist, in order to gain some gingiva and create a symmetrical
appearance of both central incisors. Most likely 21 has to be restored with a veneer, in order to
rehabilitate the clinical crown shape after the extrusion - Marga

Protaper flaring 6 yr old Empress Cvek pulpotomy Middle mesial Endo misdiagnosis MTA retrofill Resin core BW importance Bicuspid tooth Necrotic #8 treatment Finding MB2 / MB3 Deep in a canal Broken file retrieval Molar cases Pushed over apex MB2 and palatal canal Long lower third Veneer cases CT Implant surgury	Weird Anatomy Apical trifurcation Canal and Ultrasonics Cotton stuffed chamber Pulp floor sandblasting Silver point removal Difficult acute curve Marked swelling 5 canaled premolar Sealer overextension Complex anatomy Secondary caries Zygomatic arch Confluent mesials LL 1st molar (#19) Shaping vs Cleaning First bicuspid In Vivo mesial view Inaccesible canals	Premolar 45 Ortho and implant Radioluscency Lateral incisor Obturation Churning irrigant Cold lateral Tipped to lingual Acute pulpitis images Middle distal canal Silver point Crown preparation Epiphany healing Weird anatomy Dual Xenon Looking for MB2 Upper molar resorption Acute apical abcess Finding MB2	Gingival inflammation Irreversible pulpitis AG BU ortho band TF Files using TF files Broken bur Warm technique Restorative prognosis Tooth # 20 and #30 Apical third 3 canal premolar Severe curvature Interesting anatomy Chamber floor Zirconia crown Dycal matrix Cracked tooth Tooth structure loss Multiplanar curves