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dental trauma lower anteriors
From: Marga Ree
To: ROOTS
Sent: Thursday, January 22, 2009 8:24 PM
Subject: [roots] dental trauma
One year ago, this 8 year old boy sustained a trauma on his
lower anteriors. 31 had a complicated crown fracture, with
a mini pulp exposure, according to the GP. The restoration
that the GP made had to be replaced 5 times, because it
came off every single time. Apparently a poor sealing
restoration was present, and no wonder that the pulp became
necrotic after some time. The kid came in with swelling
and pain. I could not place a rubberdam, because there
was no retention.
I decided to place Ca(OH)2 and bring him back to restore
the tooth properly. At the next visit the swelling was gone,
and after the composite restoration was finished, it was
still a problem to clamp the tooth. We applied a buccal
and lingual extension of composite to provide retention
for the clamp. These composite wings can be removed easily
after the treatment is done.
Today I did the 1 year recall, lesion has healed and the
patient is symptomfree - Marga
Marga, Another beautiful executed RCT.
did you place an fiberpost? looks like it to me.
- René Stevens
Marga just great!! simple solutions to daily problems.
I love your posts!! Thank you very much - Javier Pascual
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