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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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