| The opinions within this web page are not ours. Authors have been
credited for the individual posts where they are |
Pathology in MB root : Not just curved
From: Rob Kaufmann
To: ROOTS
Sent: Tuesday, January 24, 2006 11:46 PM
Subject: [roots] Not Just Curved - For Craig - Redux
Here's the recall - taken today.
The Case was originally done in Oct of '02. This is 3+ years later.
The DB root amp was done about 6 months after the initial treatment.
I'm pretty sure if the problem was related to pathology in the MB root
we would have seen more radiographically by now. This tooth was
periodontally compromised from the get go. (The mobile wisdom tooth
distal to it didn't help matters with food impaction!) Furca involvement
is there - no doubt. But the patient's tooth is firm, he's doing a decent
job of taking care of it - considering the altered buccal contour.
I get the impression that attempted surgical treatment of the mesial root
would have been a disaster. It would have necessitated removal of a lot
of the support for this tooth - especially if I wanted to resect to a point
where I could get a good retroseal. Once I opened the area surgically and
found the furca involvement, I probably would have amp'd the whole MB root -
which would have likely doomed the tooth to Perio failure.
Its not the prettiest case overall but I simply used it as an example of
some wild anatomy that can be negotiated withe some perceverance and a bit
of luck . - Rob Kaufmann
It looks pretty nice. The xrays are a little hard to visualize all the
details required to call it a 100% success but my thoughts are at least
it hangs in the 99.9% bracket
I agree with your comments about removing the MB root. Doing that would
have led to a possible esthetic problem as well with the sinking in of
the bone when healed Thanks for following up the case! - Craig
| 
