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Chewing sensitivity of fleeting duration on #2 - Courtesy ROOTS

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From: Mark Dreyer
Sent: Wednesday, October 14, 2009 1:30 AM
Subject: [roots] Interesting dx

I saw this elderly lady a couple times before finalizing a dx of IP.  
Her only complaint was chewing sensitivity of fleeting duration on #2.  
I verified this with fx detector.  Pulpal testing was normal.  
There was a possibility of stress related parafunctional activity, 
so I did a slight occlusal refinement to remove any interferences and 
scheduled her for a followup consultation a week later (today). 
Nothing had changed and given that this symptom has been present for a 
few months with no improvement, I dx'd IP and recommended rct.

One of the cool things about the TDO website is that I can see which 
offices are looking at their final reports online. This particular doc 
is one of the regulars, (I was even able to see that he was looking at 
this stuff at 5am-what better morning breakfast reading material than 
my work?  LOL), so I go to a little more effort to put a few more labelled 
photos on the website for his reading pleasure - Mark Dreyer, DMD

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