From: Fred Barnett
To: ROOTS
Sent: Friday, September 12, 2008 6:54 AM
Subject: [roots] cases #2

Here is a second case du jour from Einstein...... - Fred

26 yo asian female presented in April for completion of #4.  GPR started the case,
did some shaping and your basic -- "banging around blindly" - couldn't figure out her lengths
- so she punted for me to finish.    Premolars are always deceiving -- and they always seem
to test my patience.   I looked for two visits for something more mesial in the apical third...
but couldn't find sh#t.   Toward the distal I could stick a .10 file in three apical spots.
Paper points had blood on the lateral border, so I figure it was stripped.    In retrospect,
I could have obturated with MTA.    Also, had it not been a irrev pulpitis case I would have
probably taken it straight to surgery to see what was going on up there.    She needed more
RCT's so I figured I may be lucky enough to get a recall.   I informed the patient of her options
and chose the "wait and see" approach.   Today she came in to complete #31.   Not the greatests of
shapes a pretty straight set of  roots, but it was clean.

#4 tested neg to palpation, and percussion.   So did #19 and #18 (endo's I did between 4 and 31).
Pt was happy.

Irreversible pulpitis somewhere else in the mouth has been my greatest aid in getting recalls.- Jared