From: Fred Barnett
To: ROOTS
Sent: Wednesday, December 02, 2009 9:58 PM
Subject: [roots] fx-resorption case

Trauma many years ago #8 and 9. #9: has fx'd root tip and large PA lesion.
CBCT shows palatal resorption. - Fred






Maybe you could try revasc? - Bart

Thats a very big PA lesion, and the palatal bone is compromissed.
What will you do with this? Endo and endodontic surgery? Only endo?
by the way, CBCT is really awesome -  Nuno Vasques

We will be doing a Ca(OH)2 treatment for a few months and will re-eval for
some repair. Eventually, a MTA plug will be placed.  I am hoping to avoid surgery,
but the root tip may need to be surgically removed. -  Fred

Fred, I agree with the caoh2 tratment andI think you should use a MTA plug,
but In my opinion, and I have several cases like this one, I would do surgery,
remove rhe root tip, place biooss or cerasorb (my favorite, from curasan)
and use a membrane, because the lesion is already in the mucosa. With this you
will avoid the risk of more bone fracture and root fracture... - Nuno

Thanks Nuno....I will post the case as we go along!! - Best, Fred

Fred, When it’s dry after rinsing, I would use a MTA plug at the first place and
I wouldn’t use Ca(OH)2.! and with the surgery I would also wait, and first see
-if the lesion will heal without surgery - Rob Kroese