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Pulsing pain and moderate percussion sensitivity- 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: Rafaël Michiels To: ROOTS Sent: Tuesday, March 24, 2009 11:26 PM Subject: [roots] Would you resect this completely or not? This was a patient which I treated today. (The first part of the treatment) The tooth was treated with an apex resection a few years ago, no orthograde treatment was done. Retrofill with AA. His current complaints were pulsing pain and moderate percussion sensitivity. I decided to do an orthograde treatment. I cleaned the canal, no fractures were present, MAF was +120. I obturated the entire canal with glass ionomer cement until the AA plug. The second part will be a new apex resection with removal of the AA. My question now is: Is it better to do a complete resection to the level of the Glassionomer, or would you try to remove the AA plug and place a new plug with a more biocompatibel material without resecting the apical part of the root (or at least not alot)? - Rafaël
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