Tenderness to percussion and palpation

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Tenderness to percussion and palpation - Courtesy ROOTS

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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 welcomed!!! - Noemí Pascual

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