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Endodontic microsurgery on D11 - Courtesy ROOTS
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From: Dmitri Ruzanov To: ROOTS 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
