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Endo tips    Better Endo    Endo abstracts    Endo discussions

Periapical radiolucency - Courtesy ROOTS

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: 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. ;-) - RafaŽl 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

Protaper flaring
6 yr old Empress
Cvek pulpotomy
Middle mesial
Endo misdiagnosis
MTA retrofill
Resin core
BW importance
Bicuspid tooth

Necrotic #8 treatment
Finding MB2 / MB3
Deep in a canal
Broken file retrieval
Molar cases
Pushed over apex
MB2 and palatal canal
Long lower third
Veneer cases
CT Implant surgury

Weird Anatomy
Apical trifurcation
Canal and Ultrasonics
Cotton stuffed chamber
Pulp floor sandblasting
Silver point removal
Difficult acute curve
Marked swelling
5 canaled premolar

Sealer overextension
Complex anatomy
Secondary caries
Zygomatic arch
Confluent mesials
LL 1st molar (#19)
Shaping vs Cleaning
First bicuspid
In Vivo mesial view
Inaccesible canals

Premolar 45
Ortho and implant
Radioluscency
Lateral incisor
Obturation
Churning irrigant
Cold lateral
Tipped to lingual
Acute pulpitis images

Middle distal canal
Silver point
Crown preparation
Epiphany healing
Weird anatomy
Dual Xenon
Looking for MB2
Upper molar resorption
Acute apical abcess
Finding MB2

Gingival inflammation
Irreversible pulpitis
AG BU ortho band
TF Files
using TF files
Broken bur
Warm technique
Restorative prognosis
Tooth # 20 and #30

Apical third
3 canal premolar
Severe curvature
Interesting anatomy
Chamber floor
Zirconia crown
Dycal matrix
Cracked tooth
Tooth structure loss
Multiplanar curves