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From: "Bill Seddon"
To: "ROOTS"
Sent: Thursday, November 13, 2003 12:37 AM
Subject: [roots] Resorption Case
Started this case today, draining buccal sinus was the only presenting
symptom. Gp cone rad taken. Tooth non responsive to EPT or thermal
testing and no abnormal probings.
A little bleeding on entering the buccal canal, but not much,
I instrumented to 1 mm short of the RT, had red splodges on paper
points around the area of the lesion. I could get the canals dry and
then placed Ca)oh)2. There is more to be done at the next visit
assuming the sinus has gone.
I am thinking this is internal resorption as I can't see the canal
through the lesion and it doesn't move outside of the root in the
angled films, I got the Ca(OH)2 to come out of the sinus tract,
and am keeping everything crossed.
Am I flogging a dead horse here? I am debating whether to fill with
MTA, I figure with its biocompatibility and the likelihood of some
obturation material exiting the tooth laterally that it would be the
best option. Should I just stick with GP?
I look forward to the follow up - Bill
Interesting case, Bill, I would use MTA.... Marga
In ur case i feel that calcium hydroxide should give a good result.
no reason to go on to use MTA at this point of time - Ajit Shaligram
BILL, Isn't it strange to find the pulp bleeds after you found a
draining tract? Sure it surprised you.. .Did you check, or do you
rememedber if the canal that showed bleeding was the same in which
you suspect the internal resorption? - Marcos Arenal
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