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  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

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