Histopath evaluation - Courtesy ROOTS
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From: "Chaniotis Antonis"
Sent: Saturday, June 23, 2012 1:01 PM
Subject: Re: [roots] 1 vs 2 visit endo--histopath evaluation
How much bacteria reduction is good enough for healing to come?
I should add here for healing not only to come but also to last
In the case attached healing came in three months although
I missed the lingual canal. For me this means that my cleaning
protocol was good enough in the reduction of bacteria
for healing to be promoted ( even if I missed a lingual canal).
Of course I new from the start that I should try and negotiate
this missed canal and that the crowns should be removed.
The patient disappeared and returned 3 months later.
The periapical lesion seemed healed but I was sure the healing
result wouldn't last long term. So I reentered and cleaned the
missed canal!! Healing in endodontics is not the only issue of
interest, long term healing is. So what is the critical bacterial
reduction for healing to Last long term. That's why we need long
term healed cases to enhance the power of our treatment protocols.