Fracture on palatal: Tooth #23 - Courtesy ROOTS
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From: "Ilya Mer"
Sent: Tuesday, February 16, 2010 4:43 PM
Subject: [roots] What made the tooth become necrotic?
Patient came with emergency case, #23 was cause of pain. Cold
test was negative, sensitivity to warm water and percussion +++.
Pulp was necrotic and I performed routine protocol of abscess,
shaping, irrigation and calcium hydroxide dressing. The pain was
gone but what made the pulp become necrotic? I tried to stain the
coronal part with caries marker. The only sign I have found was
small fracture on palatal. What is your opinion? Best regards
from Moscow - Ilya Mer.
I have a lower cuspid in my own mouth that became necrotic
20 years after minor ortho and 1 year after minor trauma.
Who know why these things happen but my guess is either trauma
or ortho. With the lateral root canal treated, was there a
history of trauma? Great case and great photos by the way
- Paul Jones
Great case, Ilya! Last week I had just the same case with
tooh 21, cold test - negative, electric pulp test - doesn't
respond, mild sensitivity to heat, no periodontal probing!
The rascal had even a fistula! When I've opened the pulp
chamber there was a lot of pus, pulp was necrotic. And I
really do not know what was the cause for this necrosis
- no trauma, no fracture...the tooth was intact! So maybe
those kind of cases will remain a little mistery. I will
post radiographs ASAP.- Bojidar Kafelov, Sofia, Bulgaria
History of trauma, ortho, external bleaching, lasers? :)
Good to rule out any and everything in the dental history
regardless of how it may hurt someone's feelings. :):):)