Nice curves in mesial canal
Apical periodontits
Type III dens case
5 canaled molar
necrosis periradicular..
Triple paste pulpectomy
Endo cases - Marcia
"C" shaped canal anatomy
Psycho molar
routine case
straight lingual
Doomed tooth
another molar
Tooth #36
Instrument removal
Tooth #27
Mark Dreyer cases
Troughing case
6 year recall
9 clinical cases
Flareup after best treatment
Fred Barnett cases
Cases by Marga Ree
Glenn Van As cases
Sashi Nallapati cases
Cases by Jorg
Terry Pannkuk cases
New dental products II
New dental products
Difficult retreatment
Canal anatomy 46
Freak case
huge lateral canal
Separate MB canal
Crown infraction
5 year recall
Palatal canals
TF retreatment
Fiber cone
Bio race cases

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  Trauma case : sinus tract


The opinions within this web page are not ours. Authors have been credited for the individual posts where they are. - www.rxroots.com photographs courtesy: Noemí Pascual
From: Noemí Pascual
To: ROOTS
Sent: Thursday, September 25, 2008 4:25 AM
Subject: [roots] TRAUMA Case

First visit. The patient came because he realizes about a sinus tract. He explains that during
the last two years the sinus tract appears and disappears. History of trauma (byke accident 28 years ago).
Percusion and palpation negative. Pulpar vitality to cold very reduced. Suggetions or recommendations??
- Noemí

What did you use for cold testing? EndoIce? EPT results? Discolorations? - Fred Dear Fred, Fot the cold testing I used EndoIce and I repeated several times. The central incisor (21) has discoloration not the others (13,12,12,22,23- all of them responded positive to cold testing. But 21 responded very very little to cold (but yes a little bit, that´s what it makes me doubt). Periodontal probings in the limits. I dind´t do the electrical pulp test. I don´t have any electrical pulp tester. Do you recommend me any? - Noemí Dear Noemi, I personally would do the endo - cause of the sinus tract and discolouration. The tract clearly shows 21 to with and PA lesion. Why there is positive cold test - I can not tell You, maybe there is second canal, maybe there is a lateral canal wit vital pulp in it. But I do not think it matters anyhow - the main thing is You have a tract (traceable), how else could You get rid of it other than endo! Also there is possible VRF - any fibber light option in Your office (if not halogen or LED will go also) - and pocket probing with plastic perioprobe under anaesthesia with more force! If You have a VRF - titan it, if not endo it! These are my 2 cents! - Veiko Dear Veiko, Thank you very much for your suggestions. What it worried me more was this image. Thanks again, - Noemí I agree...I would start the endo tx. But I like to do EPT on cases that don't respond as expected. - Fred In't the response to cold being illicited through the gingiva rather than the pulp if your endoice was closer to the marginal gingia? Just loud thinking. - Dr Sanjay Jamdade NOEMI; IN MY OFFICE I USE PULP VITALYLITY TESTER <<<<

Nice curves in mesial canal
Apical periodontits
Type III dens case
5 canaled molar
necrosis periradicular..
Triple paste pulpectomy
Endo cases - Marcia
"C" shaped canal anatomy
Psycho molar
routine case
straight lingual
Doomed tooth
another molar
Tooth #36
Instrument removal
Tooth #27
Mark Dreyer cases
Troughing case
6 year recall
9 clinical cases
Flareup after best treatment
Fred Barnett cases
Cases by Marga Ree
Glenn Van As cases
Sashi Nallapati cases
Cases by Jorg
Terry Pannkuk cases
New dental products II
New dental products
Difficult retreatment
Canal anatomy 46
Freak case
huge lateral canal
Separate MB canal
Crown infraction
5 year recall
Palatal canals
TF retreatment
Fiber cone
Bio race cases