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From: Winfried Zeppenfeld
Subject: [roots] resorption case - what now
To: "ROOTS"
Date: Sunday, December 7, 2008, 2:33 PM
this is a referred patient from Friday. Tooth 37 (#18 US) Looking at the
referrals X-ray and one I took myself, I suspected invasive cervical
resorption, but circumferential probing revealed nothing. First I
removed the caries and did a pre-endo buildup. When I opened the tooth,
there was lot of bleeding which blocked my view at first, but finally I
could see a transparent layer of dentin with soft tissue underneath.
When I removed the dentin, resorption lacuna were visible and bleeding
from the distolingual, where bone was exposed. (No probing, I checked
again after I took off the rubber dam) The referrral had been planning
on using this tooth as a bridge abutment. I think the prognosis is
rather poor and suppose an implant would be the better choice. What do
you think? Do you see a reasonable chance to clean out the resorptive
tissue completely, fill the defect with MTA and perform normal root
canal treatment? Would you recommend this tooth a s a bridge abutment?
Any better ideas? - Winfried
Why not a single tooth implant in the space and no FPD? We would need
more xrays and info. - DanS
hi winfried , imho after doing all this hard work and patien t spending
time and money a question mark remains on the tooth as to use it as an
abutment i think i wount do it in my practice i would save 37 an d give
an implant in 36 keeping both independent of each other - Gurpreet
Thanks Dan, Bob, Gurpreet
for your answers. I discussed the limited prognosis with the referral
and the patient. Both want to give it a try. So we decided to do the
endo, wait a couple years, and if it works, the referral will place a
bridge. It's basically a financial risk - you can always place an
implant or two if it doesn't work - Winfried
winfried, the bone might not be there after a few years for
the implant ? - g
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