|
|
| The opinions within this web page are not ours. Authors have been
credited for the individual posts where they are |
furcal involvement
and/or root fracture
From: Gary L. Henkel D.D.S. M.A.G.D.
To: ROOTS
Sent: Thursday, August 28, 2008 2:16 AM
Subject: [roots] ideas on what's going on here
Diagnosticians:
This 50 yo female presented today with +2 mobility of the crown
on tooth #30. Hx of endo, obviously very short, in 2001, tooth
was necrotic. No symptoms whatsoever for 7 years. Patient
presents today with these rads, showing a circumferential
radioluscency around the mesial root. Probes on mid mesial
aspect of the tooth when approached from the lingual. Placed
patient on analgesics, antibiotics , took tooth out of occlusion,
and peridex rinse, and reappointed for next week to disassemble
tooth. I’m concerned about furcal involvement and/or root
fracture. Anyone have any other ideas - Gary
Gary, looks like a classic root fracture. My arm-chair dx.
- Kendel
Besides the obviuos instrumentation issues mentioned
I'm betting on a perf and maybe a fx too - Arturo
A perf failure after 7 years? - Gary
no, maybe an original one. on the xray there appears to be a
deep gray area in the furcation area. hard tol say without
different angles - Arturo
Gary, Possible seperted files in M roots, possible garden variety
perio lesion - Dan Shalkey
My initial rxn seeing that rad and reading your description is
probably a fx. If the patient is willing to spend a few $
checking further, access and check it out internally at which
point you can hopefully make a better assessment - Mark
I have seen this "halo" like lesion in texts referred to as a
"classic" fx lesion. Of course, in practice I have seen any
number of lesion presentations on teeth with fractures, and
certainly there is no way I would condemn a tooth because of
a "look" on a rad alone. Gotta have all the info you can
gather, inform the patient, and if they want, you can agree
to exploratory procedures and fees - Kendel
Thanks kendel. That’s pretty much what I have advised the
patient, telling her treatment may range from minor corrective
procedures to extraction and implant - gary
|
