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  Perforation case

Perforation case

The opinions within this web page are not ours. Authors have been credited for the individual posts and images where they are. Photos courtesy Maarten Meire

From: Maarten Meire
To: ROOTS
Sent: Sunday, October 05, 2008 8:01 PM
Subject: [roots] perforation case

Referred to our office because the dentist was not able to
completely negotiate the buccal canal.
After access, the reason was obvious: he had made his own canal.
The other orifice was located, canals prepped (1 common foramen). The via falsa was sealed with MTA,
and the rest of the canal obturated with warm vertical condensation.
Comments are appreciated! - Maarten Meire

Hi Maarten, I should have dealt the same way with this case. There is a kind of "plastination" of the blood vessel. Do you have any idea wether this could have consequences? From my own experience, it doesn't seem to compromise healing... I'm glad that this kind of plastination in living beings is less controversial than the one in cadavers in the Korperwelte exhibition here in Brussels ;-) - Nice work! - Bart Whoops, than i didn't look thorough enough to your X-ray, Maarten... Sorry for the mishaps. - Bart Thx Bart, plastination :-) I don't think it was sealer in a nutrient canal though, rather sealer in the apical part of the canal. The canal was ledged by the previous dentist a few mm before the apex. I was not able to fit a cone all the way to the apex, but I could push some sealer beyond during warm vertical condensation. I'm not concerned about a little sealer puff apically (it happens all the time!) - Grtz, - Maarten

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