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Easy retreatment - Courtesy ROOTS

The opinions and photographs within this web page are not ours. Authors have been
credited for the individual posts where they are - www.rxroots.com
From: Marga Ree
To: ROOTS
Sent: Friday, June 18, 2010 6:41 AM
Subject: [roots] Easy retreatment

This young female patient was root canal treated on 21 and 22 back in 1997. She sustained a trauma when she was a kid.
The GP did an attempt to stop the resorption on 21 by doing a rct, however, he could not find the canal, and stopped
in time, I think..

Patient was referred to me for advice. We recommended retreatment of 22 and monitoring 21.  The location of the
radiolucency was unusual.

The foramen was wide, size # 80, my rule of thumb is to use MTA if the foramen is > 70-80. However, I could create a
tapered apical prep, and was not sure if I could pack MTA in that lateral canal. I used resilon instead. Appeared to
work out fine.  - Marga

very good marga!!!! - Nuno Nice case Marga :) is this a Lightspeed in the canal? - Hani Thanks Hani! Yes, I always use Lightspeed (the previous version) for working length determination and gauging the foramen when treating a tooth with a wide foramen. Gives me a better sense of the size of the apical foramen. - Marga
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