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Interappointment flareup - Resilon followup - Courtesy ROOTS
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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
