Home page Troughing case nice case Implant case ? Educative case Avulsion case Bruxism case 9 clinical cases Lost case Accident case Biorace cases Good case Nice curves Apical periodontits Type III dens case 5 canaled molar Periradicular.. Pulpectomy "C" shaped canal Psycho molar straight lingual Doomed tooth another molar Instrument removal 6 year recall US Endo experience Titanium posts Horizontal root fracture some curves cracked tooth canal projectors calcified premolar community dentistry Dentin color map Chloroform Are you biting off crack and bone loss Tooth eruption Managed care Bridge cement Anterior teeth Squirt obturation 15 minute molar Sinus tract Coronal decay calcification Trauma followup Sterilox users horizontal hemostat Histogram Resorption biofilms Sensitivity Endo tips Optimized ozone NiTi rotary Nacked eye believers

Home Page |  Abstracts |  Case studies |  Jokes |  Free journals Dental tourism |  Wisdom tooth |  Videos |  Seminars & Conferences Enter your search terms Submit search form   Web www.dentalindia.com PERIAPICAL PATHOLOGY + VITAL PULP The opinions and photos within this web page are not ours. Authors have been credited for the individual posts where they are From: Roberto Cristescu Sent: Tue 3/29/2005 15:54 To: ROOTS Subject: [roots] PERIAPICAL PATHOLOGY + VITAL PULP Thought this might be interesting...I know it may happend from time to time, that's why it is so important to accurately make all the investigations. This 33 y.old male was reffered to me for chronic apical periodontitis because the other doc saw a big decay, the radiotransparency on the X-ray and the pt told him that it hurts when he eats on this tooth (47 international, 31 USA). The vitality test with pulp tester showed me a value of 48 and the tooth 37 (18 USA) was 45 on electric pulp tester. I saw on the X-ray that on the mesial the pulp might pe open.... Made him one articaine and one mepivacaine and started to remove all the decay, and yes, the pulp was discovered :-)))..it was vital and not bleeding but..unfortunately still hurting when I gently tocuhed it with the explorer....I had to temporise, which I really hate MOST ! I rescheduled the pt, and I'll go with ibuprofen premedication and who knows what kind of anesthsia so that I'll be able to make the pulpectomy safe and without pain ! The patient have had in 2002 hepatitis B :-))) It's so sad to see on myself that the authors that are writing about the high failure rates of SPix anesthesia for endo on lower molars are damn right :-((((( All the best regards, - ROBERTO Ledermix paste is great in cases such as this. Settles things down so that the LA works ok for pulp extirpation at the next visit. - Stephen Day. Dear friends: This is a similar case.MY left cetral and lateral incisal. apical lesion was noted over 6 years, no color change almost no symptom , sometimes feel a little sensitive I ask my friend to do the endo ,but when he use the high speed I feel very very sensitive. So I think it is vital. And decide to follow up. What should I do ,keep follow up or endo? please give me some suggestion, thinks. - Shih wu hsien Take more x-rays form different angles. Do thermal and electric pulp testing. - DanS

Cases by: Ahmad Tehrani Fred Barnett Glenn Van As Jorg Marga Ree Mark Dreyer Noemi Pascual Sashi Nallapati Marcia Terry Pannkuk Winfried Zeppenfeld New products New Products 1 New Products 2 New Products 3 New Products 4 New Products 5 New Lab Products Abstracts Abstracts Abstract 1 Abstract 2 Abstract 3 Abstract 4 Abstract 5 Abstract 6 Abstract 7 Abstract 8 Abstract 9 Abstract 10 Abstract 11 Abstract 12 Abstract 13 Abstract 14 Abstract 15 Abstract 16 Abstract 17 Abstract 18 Abstract 19 Abstract 20 Abstract 21 Implant Abstracts Implant Abstracts 1 Implant Abstracts 2 Implant Abstracts 3 Implant Abstracts 4 Perio Abstracts Perio Abstracts 1 OMFS Abstracts OMFS Abstracts 1 OMFS Abstracts 2 OMFS Abstracts 3 OMFS Abstracts 4 OMFS Abstracts 5 OMFS Abstracts 6 OMFS Abstracts 7 OMFS Abstracts 8