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From: jan berghmans
Sent: Saturday, December 20, 2008 7:20 PM
To: ROOTS
Subject: [roots] CAP case
CAP case: refering dentist wants to extract and replace by an implant -
patient wants to keep it.
An attemp to instrument canals had been done some time ago, leaving some
amalgam and a few ledges in there .
Adviced a crown when sending patient back to referal but got an email back
from her announcing she's not willing to do so because of " bad prognosis :
furcal involvement, root fracture risk and the need for crown lenghtening"
....She decided to perform a "build-up with three posts " ..sigh
- Jan Berghmans- Endodontie BVBA
Jan, Wonderful work on your part. How long did this case take you and how
you managed to keep patency? Did you use rotaries here?
Pity the GP is clueless But at least she will reinforce the tooth with
those 3 posts ! Now I understand her logic being concerned with cracks,
furcations and such .. (and I though three posts were only done here by
dentists from east Europe) - Thomas
That is awesome work on an extremely difficult case!!
If you have some time, it would be helpful if you coul describe your
instrumentation approach to this case - Fred
Excellent work! I am also wondering which instrumentation protocol you
followed. And did you treat the case in one or two visits?
- Rafaël Michiels
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