Einstein Trauma Case
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From: Fred Barnett
Sent: Saturday, September 20, 2008 1:24 AM
Subject: [roots] Fwd: Einstein Trauma Case
from one of my 2nd year postdocs....
Here is an update on a patient that returned for treatment today.
The patient is an 8 year old girl who fell and fractured and intruded #9.
She initially presented 10 days post trauma and it was not possible to
isolate #9 for treatment. Ortho was involved to plan for extrusion of #9.
The mother assured me that #10 did not look any different than it looked
before her daughter fell.
I did some gingivectomy on the labial of #9 to make space for bracket
The patient came in today with a repositioned #9 ready for treatment.
First I did another gingivectomy on the palatal to fully expose the
crown before rubber dam isolation. On access the necrotic pulp was visible
and I considered revascularization. The apical gauging with lightspeed
confirmed the narrow apical foramen which lead me to plan for 4 weeks of
CaOH followed by an apical plug with MTA. I am considering to place
a bonded Fiberpost with LuxaCore instead of backfilling with Resilon
after the MTA plug. Any thoughts? - Benedict