ECIR, ortho, endo and restorative treatment
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From: Marga Ree
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.
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