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Endodontic microsurgery on D11 - Courtesy ROOTS

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From: Dmitri Ruzanov
Sent: Saturday, April 24, 2010 5:02 AM
Subject: [roots] Surgery...

This patient was referred for endodontic microsurgery on d11 due to
persistent lesion. I didn't like how RCT looked like on this tooth 
and on neighbours... Couldn't insist on orthograde revision,
partly due to "politics and diplomatics" :-(    hmmm....

This time I used a "combination" flap - Ochsenbein-Luebke mesial and 
distal to the tooth treated and papilla preservation on the target 
tooth, vertical release incision distally. Yep, there was a mess in 
periapical tissues... Removed ca 3mm of root tip, retroprepped and 
filled with IRM

I feel like loving IRM more and more... in my hands MTA just plain 
doesn't work well - everytime i have a handful of this sand all over 
the crypt and this ruins my day. IRM, on the other hand is more user 
friendly... imo. Marga, oh where are you? :-)))

First time used Tevdek sutures... absolutely loved the stuff! I guess 
i will switch to Tevdek exclusively for my non-resorbable all-around 
suture material.

Today i removed the sutures (at 48h)... wound looks just fine. I expect 
perfect gingival healing. Will have the patient back for recall in 
half a year.

Would love to get constructive critiques and advice :-) - Dmitri

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