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Interappointment flareup - Resilon followup - Courtesy ROOTS
The opinions and photographs within this web page are not ours. Authors have been credited
for the individual posts where they are. - www.rxroots.com

From: Marga Ree
To: ROOTS
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" comes next. 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 To: ROOTS 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 relief. 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. ..............Marga 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

Protaper flaring

6 yr old Empress

Cvek pulpotomy

Middle mesial

Endo misdiagnosis

MTA retrofill

Resin core

BW importance

Bicuspid tooth

Necrotic #8 treatment

Finding MB2 / MB3

Deep in a canal

Broken file retrieval

Molar cases

Pushed over apex

MB2 and palatal canal

Long lower third

Veneer cases

CT Implant surgury

Weird Anatomy

Apical trifurcation

Canal and Ultrasonics

Cotton stuffed chamber

Pulp floor sandblasting

Silver point removal

Difficult acute curve

Marked swelling

5 canaled premolar

Sealer overextension

Complex anatomy

Secondary caries

Zygomatic arch

Confluent mesials

LL 1st molar (#19)

Shaping vs Cleaning

First bicuspid

In Vivo mesial view

Inaccesible canals

Premolar 45

Ortho and implant

Radioluscency

Lateral incisor

Obturation

Churning irrigant

Cold lateral

Tipped to lingual

Acute pulpitis images

Middle distal canal

Silver point

Crown preparation

Epiphany healing

Weird anatomy

Dual Xenon

Looking for MB2

Upper molar resorption

Acute apical abcess

Finding MB2

Gingival inflammation

Irreversible pulpitis

AG BU ortho band

TF Files

using TF files

Broken bur

Warm technique

Restorative prognosis

Tooth # 20 and #30

Apical third

3 canal premolar

Severe curvature

Interesting anatomy

Chamber floor

Zirconia crown

Dycal matrix

Cracked tooth

Tooth structure loss

Multiplanar curves