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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