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  ECIR, ortho, endo and restorative treatment


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 Photos courtesy of Marga
From: Marga Ree
To: ROOTS
Sent: Tuesday, June 14, 2005 8:43 PM
Subject: [roots] ECIR, ortho, endo and restorative treatment

This 15 year old boy was referred to me for retreatment 
of # 11 and 21. He suffered a  dental trauma several years ago, 
and both central incisors were root canal treated at 
that time. His main complaint was that the teeth were 
discolored, and we decided to  retreat and bleach # 11 and 21.  
When I took a filling rad, I noticed ECIR on tooth # 22. 
Patient had no signs or symptoms.

# 22 responded negative to thermal tests and EPT. I did a test 
cavity, and didn't get  a respons. # 22 appeared to be non-vital, 
and after application of Ca(OH)2 and a temp filling,  I decided 
to have # 22 extruded, to get access to the resorption defect. 
Ortho was performed  till # 22 was extruded 4 mm , and I was able 
to finish the endo, remove the resorptive tissue  with TCA, and 
make a composite restoration. Today I did a 8 month follow-up, 
patient is  scheduled for a comprehensive orthodontic treatment 
for cosmetic reasons, which was already  planned from the start. 
- Marga

ECIR, ortho, endo and restorative treatment 
ECIR, ortho, endo and restorative treatment
ECIR, ortho, endo and restorative treatment
ECIR, ortho, endo and restorative treatment
ECIR, ortho, endo and restorative treatment
ECIR, ortho, endo and restorative treatment
ECIR, ortho, endo and restorative treatment
ECIR, ortho, endo and restorative treatment
ECIR, ortho, endo and restorative treatment Beautiful ! - Michiel Marga, great save! - Kendel Dear Marga, congratulation. Great work (as ususal!!) and a beautiful documentation. I 'm afraid the following question is a stupid one, but at least I don't want to die as a stupid one: What does TCA mean? (......-Acid???) - Jörg Schröder Hi Jorg, TCA= TrichlorAcetic Acid. - Marga I''ll save Marga some keyboard punching ;-) TCA is thrichloracetic acid. It is used to chemically debride or burn out the resorptive tissue. The classic Heithersay paper if I am not mistaken is in the .pdfs downloadable in the rxRoots site. - Ben Marga, You are a true "Restorativendodontist" Excellent learning experience as usual - Rajiv What a great case, so well treated, so well documented and so beautiful to see. I learn so much from each of your cases, and the wow, hmmm...., isn't that interesting.......statements always make my wife wonder what I am looking at ....... Just another estraordinairy Marga case!! Grin, Glenn Marga, I hope some day you get good at what you do. - Superb as usual marga.- Gary
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