|
Einstein Trauma Case
| The opinions within this web page are not ours. Authors have been credited for the individual posts where they are. Photos courtesy: Benedict - ROOTS |
From: Fred Barnett To: ROOTS Sent: Saturday, September 20, 2008 1:24 AM Subject: [roots] Fwd: Einstein Trauma Case from one of my 2nd year postdocs.... Fred 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 placement. 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