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Second molar most sensitive to percussion - Courtesy ROOTS
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Authors have been credited for the individual posts where they are - www.rxroots.com |
From: Terry Pannkuk To: ROOTS Sent: Friday, February 19, 2010 9:27 AM Subject: [roots] Orthognath Case This is a 57 year old female patient who presented 12/07 for retreatment of #30. She was having ortho and then had a saggital split last year. The crown on #30 was beaten up pretty good. The second molar is the most sensitive to percussion. The one I treated 2 years ago is slightly percussion sensitive. I don't particularly like the PDL space widening at both apices of the tooth I treated. The don't look like obvious lesions to me. The fact that it was a retreatment, the patient just got her ortho bands off, had recent orthognathic surgery, and the roots apices seem to fenestrate through the buccal plate of bone, seems to suggest we should just schedule her for a later recall. Pretty wild how the one screw seems to be right on the mandibular canal. The patient has no paresthesia. I've been told by oral surgeons that these patients are informed to expect permanent paresthesia as a probably outcome when the jaw is split. Sometimes it amazes me how paranoid we are about certain risks while oral surgeons and MD's treat the same risks as a cavalier accepted outcome - Terry
