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Unresolved sinus tract - 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: Mark Dreyer
To: ROOTS
Sent: Monday, March 01, 2010 1:52 AM
Subject: [roots] Lost the tooth but didn't lose the lesson

I'm not a staunch 2 visit guy, but I do recognize the value of the second visit in certain situations.
(I like to think I use the Avillion "force" in making these determinations. :-) )

99% of the time I'm doing a second visit when there is a sinus tract just to verify things are healing
before sending the pt back for restorative.  In this case, the sinus tract didn't resolve, and amazingly
the crack I searched for diligently at visit one and couldn't find was now quite visible after a month of
caoh.  I sent the pt off for extraction.

Getting into that deep split was kind of a lucky thing.  I suspect I leave more of these than I find.
Lower incisors and bicuspids, and upper second bicuspids are the toughest teeth to endodontically treat
that nobody talks about due to these middle/apical third branchings.   - Mark

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

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