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External resorption:Amalgam:perio

From: sashi
To: ROOTS
Sent: Wednesday, January 25, 2006 10:14 AM
Subject: [roots] ext resorption,Amalgam,perio

here is a followup of the external resoption on the palatal root of
 a 76 year old. we (endo,perio) fought hard to save the tooth.
at 4 onths he is all set to receive his final crown
the perio resident is a little inexperienced, should have taken just 
a little more bone  on the Mesio palatal. but he was afraid of 
opening the furca... overall a very nice result, i would think..
.considering the age of the patient... did i tell you , i am 
increasingly enamored by perio surgery..(with only 3 weeks in the 
perio dept... ) - sashi nallapati

Sashi, A very nice result indeed! Maybe you have explained this before, but why amalgam? - Marga 1. so that the dental student and perio guys can actually see the palatal most extent of the resorption with out wondering where the resin ended and tooth started. 2. also because of less than favorable conditions for resin placement internally with an open communication into the sulcus. in other words its idiot proof in a school setting ;-)) - Sashi Nallapati Hi Sashi, can you give us a little more treatment history from the beginning? When was the amalgam placed? - Tony tony, the amalgam was placed during the endodontic treatment internally to block out the resorptive defect. after the endo was finshed, perio did a crown lengthening and the dental student was abe to prep into the amalgam to get a margin. I am hoping it to be a all metal margins crown. - Sashi Nallapati Sashi, placing amalgam internally how? w/ MTA carrier? If they're teaching PFM chamfer down there, should be metal margins. - Tony amalgam carrier, it was a big access. - Sashi Nallapati

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