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Bruxism and Endo Case - Courtesy ROOTS

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From: Noemi Pascual
Sent: Thursday, May 31, 2007 4:08 AM
Subject: [roots] Bruxism & Endo CASE

This male was referred by an oral surgeon to evaluate 31 and 41. No tenderness to palpation only to percussion. The
patient was asymptomatic. A sinus tract was present in 31. Vitality to cold negative in both.

Etiology? No caries, perio probing normal, no history of trauma. The patient is 32 years old. Bruxism was the cause find to explain the necrosis of 31 and 41. Other ideas??

First, I did the RCT of 31. 2 weeks with calcium hydroxide. In the second appointment the sinus tract had disappeared. In
this case and thanks to Roots I have learned how important is to do multiple angled rx not only for molars also in
incisors. I was happy with the result of the first rx but not with the third one! 41 was done in two visits with 2 weeks
with calcium hydroxide as intracanal medication - Noemí Pascual