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From: Marga Ree
To: ROOTS
Sent: Sunday, November 30, 2008 5:22 PM
Subject: [roots] Short cases do heal, sometimes...:-)
Ugly case, I couldn't get to WL, despite 3 sessions and all tricks
I could think of. There was also a perf in the furcation, so I gave
it a poor prognosis.
Last week she came back for a 1 year follow-up. To my surprise,
she was completely symptomfree, and the lesion had decreased in
size significantly. I recommended a new bridge - Marga
Teeth can amaze you, can’t they Marga. I repaired a huge strip perf
of my partner on the mesial root of 19. Told the patient that the
tooth would eventually be lost. The perf was so long that there was
no way to pack the MTA except against the remain gutta percha and
EndoRez in the canal after I exposed the entire perf.so I just spun
it in on a lentulo and packed it. Made for an ugly mess out into
the lesion but damned if the thing didn’t heal up totally. He moved
away so I don’t know the final result but since it healed, I bet
it stayed healed - Guy
Hi Marga, well the immune system doesn't know the level of this
filling! Turned out well.
How did you place a matrix for the build up? Was it one of your
upside down crown formers or a tofflemire? Did you move the dam
to the tooth distal? - Bill
Hi Bill, I have to say that I don't remember that very well, because
this is a 1 year recall. Usually, when there is little tooth structure,
I clamp the distal tooth. In this case, I think I was able to slide
the upside down crown former over the cervical part of the tooth,
without moving the clamp to the tooth distal - Marga
Hi Marga! Congratulation for the result/healing!
Can we make a list of the tricks one can try in order to reach WL
in a difficult situation like this? - Andreea
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