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Endo tips    Better Endo    Endo abstracts    Endo discussions

No signs of PA radiolucencies - Courtesy ROOTS

The opinions and photographs within this web page are not ours. Authors have been
credited for the individual posts where they are -
From: Terry Pannkuk
Sent: Saturday, November 21, 2009 7:54 AM
Subject: [roots] First Scan

How's this for a first scan on our Kodak.  My assistant said her 
former employer did this endo 20 years ago. She's always been "aware" 
of the tooth but said it didn't really hurt.  I took a PA of 
it in 2008 which is attached.  I had noted the furcation radiolucency 
but didn't think it was enough evidence to retreat given
her subtle symptoms and no signs of PA radiolucencies even though 
the canals were filled grossly short. The perio was fine. 
What should I think now?  - Terry

it looks like a perf to me - at the entry in the palatal canal. 
i mean distal:) - Sergiu

what a fantastic tool!! Yes, I Itīs a strip perforation.
And itīs not very clear in that slice but maybe
MBII not treated previously.

May I use this slide? Of course with full atribution - Javier Pascual

Sure - Terry

the dentine wall is either very very thin or perforated. 
I had a case like that myself - August

Looks like a missed MB2 as well. - Awesome!! - Fred

Terry, Do you still retreatament a consideration? - Joey D

We are planning a nonsurgical retreat. Clearly an MB2 was missed.  
The PA's seem to show the inadequacies of the obturation in more 
detail because of the better resolution, but it's amazing how 
unequivocal the perf was. She still likes her former employer 
though and thought he was a nice guy. :):):) - Terry

Terry, I wonder what she's gonna think of u if she has a flare-up :):) - Amir
Protaper flaring
6 yr old Empress
Cvek pulpotomy
Middle mesial
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BW importance
Bicuspid tooth

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