Lipomatous lesion dissection

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Lipomatous lesion dissection - 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: Terry Pannkuk
To: ROOTS
Sent: Saturday, June 19, 2010 4:33 AM
Subject: [roots] Puzzle Case:more information

Ok,  Here’s the rest of the story.  I didn’t suspect endo at all from the CT data and decided to I and D the lesion
to see if it would produce pus.  I didn’t and I dissected out a lipomatous lesion en toto.    It was multilobular
with a yellow firm glistening texture.    I’ve never seen one of these before in this area emulating a fluctuant
endo lesion so deceptively.  I thought it was very interesting.   I’m glad I didn’t access the usual suspect
figuring #28 was probably exposed with the caries causing the problem.   We still may end up doing the endo on #28
after the caries is removed, but this certainly wasn’t related!  Cool oral path experience today!   The biopsy
report should come back in a few days. - Terry

It was clearly a lipoma.   - Terry

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