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

 

 

 

 

 

 

 

 

 

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...., isnt 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