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Tincture of titanium?

From: Rajiv Patel
To: ROOTS
Sent: Sunday, September 11, 2011 5:22 AM
Subject: [roots] Tincture of titanium?

45 yof presented with buccal swelling related to # 28. grade 2 mobility, probings 434,434
Any takers on this tooth which has already been retreated by her general dentist.

Another one bites the dust.....? Fire on! - Rajiv Patel



Is it depressible? If not then why not. Put some CaOH and see what happens. Worst case you ext and graft
- Robby Rabi

retreatment,vertical root fracture,anatomy,bacterial contamination,foramen locator,infected tissue,irrigation,irrigants,

Dear Rajiv, I do not see any impediment or contraindication for retreatment, indeed, I think that is the
best option for the patient and he/she absolutely deserve it, unless you could confirm VRF in which case
extraction is the only way to go.

NO post, NO modification of anatomy, so good prognosis for retreatment, but only if you think and work with
anatomy and removal of bacterial contamination in mind, and plan your strategy that way, not just the
esthetic of the final X-Ray film.

Try to find extra anatomy, determine working length with foramen locators, final instrument should not be
as small as practical, it should be determined in terms of a better removal of infected tissue and creating
a favorable shape for irrigation, lots of irrigants with a rubber stoper on the needle, Pasive Ultrasonics
and negative pressure could be more efficient than caoh.

BTW, the bone level has a better prognosis with the natural tooth - Carlos Heilborn