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Tenderness to percussion and palpation - Courtesy ROOTS

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credited for the individual posts where they are -
From: Noemí Pascual
To: Noemí Pascual
Sent: Friday, May 25, 2007 2:48 AM

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. 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

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