From: Barry Goodman
To: ROOTS
Sent: Friday, November 13, 2009 2:28 AM
Subject: [roots] would like an opinion

This patient had endo done on both molars about 10 years ago by his dentist.  They are asymptomatic
but his dentist is concerned about the periapical radiolucency that has formed on the second molar's
mesial root.

He has no biting sensitivity and  no tenderness to palpation in the buccal fold to palpation.
This tooth certainly has an apical lesion on the mesial root.  Without a CBCT scan I really can't
tell if the other apices are definitely involved or not.

Is it best to have a scan done before treatment is planned?
Is retreatment of the MB canals the treatment of choice?  Is it better to remove the palatal post
and retreat all the canals?  It is better to leave the crown alone and do an apicoectomy on the
mesial roots?  Is it better to just go on vacation for two weeks? How about some advice.....
- Dr. Barry Goodman






I would disassemble everything and retreat all the canals, - Thomas

I agree with Thomas - Fred

I also agree, but would go on vacation first. ;-) - Rafaël

Thomas and Fred,

Thank you for your opinions.  It means a lot to hear what other people think.  I do agree that the
best option is to disassemble the post and retreat all the roots.  I just needed to ask someone else.
Sometimes it gets foggy out there and I'm not sure where I am going.   Roots is a wonderful resource
for all of us.  Thanks again.....Barry