Check Page Ranking

Home
Dental tourism
Conferences
Dental books
Bad breath
Kids caries
Smoking effects
Patient info
Dental Videos
Wisdom tooth
Diabetes
Drugs of choice

Endo tips    Better Endo    Endo abstracts    Endo discussions

Tenderness to percussion and palpation - Courtesy ROOTS

The opinions and photographs within this web page are not ours. Authors have been
credited for the individual posts where they are - www.rxroots.com
From: Noemí Pascual
To: Noemí Pascual
Sent: Friday, May 25, 2007 2:48 AM
Subject: 6 in 1 DIAGNOSTIC/TREATMENT PLAN CASE

A 30 year old male patient was referred for evaluation of 
21, 24, 36, 35, 46 and 45. I have some doubts and I would 
like to know some opinions about how you would
deal this case.

21: The patient doesn´t remember when it was done the RCT. 
    It´s assymptomatic.     Tenderness to percussion and 
	palpation. No swelling, no sinus tract. Perio probing
    normal. I have recommend the retreatment.
24: The RCT was done 5- 6 years ago. He doesn´t remember 
    exactly. It´s assymptomatic. No tenderness to percussion 
	or palpation. In the rx you could see caries under the 
	composite     and the leakage. Now...my question...I know 
	the importance of coronal leakage but I should do
    the retreatment? How do you deal to explain this to your 
	patients when it´s assymptomatic??
    Would anyone recommend a crown here?
35: Assymptomatic. No tenderness to percussion or palpation. 
    Positive response to vitality (cold).Normo perio probings.
36: Assymptomatic. No tenderness to percussion or palpation. 
    Necrosis. No swelling, no sinus tract. Perio probings normal. 
	Bite test possitive. Although the j image I have recommend 
	the RCT and re-evaluation.
45: Assymptomatic. No tenderness to percussion or palpation. 
    Necrosis. I have recommend the RCT.
46: Assymptomatic. No tenderness to percussion or palpation. 
    I was wondering abut the anatomical form of the mesials 
	roots.  Perio probing normal. Bite test possitive.
	What do you think about this one??

Thank you for your help. All suggestions are very welcome!!! 
- Noemí Pascual

Protaper flaring

6 yr old Empress

Cvek pulpotomy

Middle mesial

Endo misdiagnosis

MTA retrofill

Resin core

BW importance

Bicuspid tooth

Necrotic #8 treatment

Finding MB2 / MB3

Deep in a canal

Broken file retrieval

Molar cases

Pushed over apex

MB2 and palatal canal

Long lower third

Veneer cases

CT Implant surgury

Weird Anatomy

Apical trifurcation

Canal and Ultrasonics

Cotton stuffed chamber

Pulp floor sandblasting

Silver point removal

Difficult acute curve

Marked swelling

5 canaled premolar

Sealer overextension

Complex anatomy

Secondary caries

Zygomatic arch

Confluent mesials

LL 1st molar (#19)

Shaping vs Cleaning

First bicuspid

In Vivo mesial view

Inaccesible canals

Premolar 45

Ortho and implant

Radioluscency

Lateral incisor

Obturation

Churning irrigant

Cold lateral

Tipped to lingual

Acute pulpitis images

Middle distal canal

Silver point

Crown preparation

Epiphany healing

Weird anatomy

Dual Xenon

Looking for MB2

Upper molar resorption

Acute apical abcess

Finding MB2

Gingival inflammation

Irreversible pulpitis

AG BU ortho band

TF Files

using TF files

Broken bur

Warm technique

Restorative prognosis

Tooth # 20 and #30

Apical third

3 canal premolar

Severe curvature

Interesting anatomy

Chamber floor

Zirconia crown

Dycal matrix

Cracked tooth

Tooth structure loss

Multiplanar curves