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Endo tips    Better Endo    Endo abstracts    Endo discussions

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. Iím 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. Thatís pretty much what I have advised the patient, telling her treatment may range from minor corrective procedures to extraction and implant - gary

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