From: "gary l. henkel d.d.s." 
To: "ROOTS" 
Sent: Thursday, September 22, 2005 12:30 AM
Subject: [roots] Looky what I found

I had this shall we say very interesting patient in today for treatment in
the bicuspid area.  This is a patient that when we get a call for an
appointment we are setting up for endo and/or extraction.  As I was
anesthetizing the bicuspid area I noticed this little flap of tissue in the
vicinity of the 1st molar.  Placed a 30 .04 resilon (I mean to tell you,
even terry would have to admit you cannot beat resilon for tracing a sinus
tract) into the tract, guess which tooth has a little problem.
Asymptomatic.  Yahoo!  Another attempt to find the elusive mb2 coming up.
Stay tuned. - Gary






Gary, I'd put the urgency of finding this MB2 as a "Khademi level 3+"---necrotic, lesion on the MB root.  ;-))

From JKhademi:

1) Vital, no AP-->Don't kill the tooth and make the patient worse.
2) Vital, AP-->look pretty good.
3) Necrotic, Virgin case-->look really good.
4) Vital (orig diagnosis--no lesion) retreatment--->if ext is the alternative, then you don't have a helluva lot to loose by perfing while looking.  If symptoms not so bad that they can be tolerated, look pretty good.
5) Necrotic (original diagnosis-lesion) retreatment-->ext is really the only alternative.  Find additional anatomy or perf trying.

This will be a fun case  - Kendel

I am feeling the pressure - Gary