Interappointment flareup - Resilon followup - Courtesy ROOTS
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From: Marga Ree
Sent: Sunday, July 24, 2005 9:27 PM
Subject: [roots] Another resilon follow-up
Another resilon follow-up. I have posted this case before to show
an example of a interappointment flare-up - Marga
Another great case Marga.......weird that the tooth went Non Vital
because the restoration doesnt look that close to the pulp. Was there
still decay left behind under the resin.
I havent had a flareup for so long, I am just wondering when "my turn"
How did you do the Incision and Drain, did you put a drain in. Alot of
times now I use the hard tissue laser in non contact without anesthetic
(topical sometimes) to incise and the patient has very little
discomfort. The laser will help reduce bacteria as well.....
neat case and awesome healing - Glenn
Yes, I agree with you, weird that the pulp of this tooth became non-vital
and infected. There was no caries present after removing the restoration.
Incision was done without putting in a drain, fyi,
here is the original post:
From: Marga Ree
Sent: Friday, February 04, 2005 5:19 PM
Subject: [roots] Inter- appointment flare-up
This 23 year old man presented with pain and swelling on the lower right
quadrant. AP tooth 46 with a draining fistula. First session: C& S of 4
canals, copious irrigation with 5% NaOCL, ultrasonically delivered,
alternating with EDTA 17 %.
Ca(OH)2 as an intracanal dressing, prescription of NSAID's, no antibiotic
therapy. The next day I called him, and he told me was almost free of
symptoms. After 5 days he returned to the practice with a large fluctuant
swelling, buccal of # 46. After I obtained drainage, he felt immediate
Again no AB, but I closely monitored the patient, we had contact every 24
hrs. After 2 days he was free of pain and the swelling had disappeared. I
waited for 3 more weeks, to be sure he would continue to be completely
symptomfree, and I finished the RCT with a filling of resilon and a
composite build-up - Marga
I remember the case. Superb result for a superb treatment - Thomas
Thanks Thomas, I thought it would be nice to post the follow-up.
This case is currently displayed on the website of a German dentist,
a former ROOTER, to show patients and colleagues an example of MALPRACTICE.
Dear Marga ! Can you elaborate ? How can a beautiful case like this be
shown as MALPRACTICE ? Weird world we live in. Some people just don't
appriciate the work we put into each case to make it end like this.
You are the best ! - Thomas
P.S I guess it's that Dr. that was arguing his magic paste/100% success
some time ago ?
I guess it's that Dr. Thomas, you hit the nail on the head......
Thanks for the kind words,- Marga