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Horizontal and vertical percussion

From: Javier Pascual
To: ROOTS
Sent: Saturday, May 22, 2010 4:55 AM
Subject: [roots] ENDO-IMPLANT ALGORITHM

THIS PATIENT HAS BEEN REFERRED TO MY PRACTICE TO DAY.

ASYMPTOMATIC
VERTICAL PERCUSSION NEGATIVE
HORIZONTAL PERCUSSION NEGATIVE
TENDERNESS TO PALPATION BUCCAL CERVICAL LEVEL 4.6
NO RESPONSE TO COLD TEST
PROBING BUCCAL 8-3-3
PROBING LINGUAL 3-3-3
EXPLORATION WIHT PROBE REVEALS THAT DEFECT IS MAINLY MESIAL AND BUCCAL

DO WE NEED A CBCT FOR BETTER DIAGNOSIS?
.
MAYBE WE HAVE HERE AN IDEAL SCENARIO FOR AN IMPLANT. CAN WE PROPERLY SEAL THE DEFFECT,
NOT EASY ACCESS TO MESIAL WALL....ENDO+SURGERY? IMPLANT? -  Javier Pascual