Vertical and horizontal percussion - Courtesy ROOTS
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From: Javier Pascual To: ROOTS Sent: Sunday, March 14, 2010 5:01 AM Subject: [roots] RCT AFTER PREVIOUS TREATMENT WITH CAOH2 PULPOTOMY ON TOOTH 4.7 12 YEARS OLD GIRL. PREVIOUS PULPOTOMY BY PEDIATRIC DENTIST IN MAY 2009 SEPTEMBER 2009. PATIENT IS REFERRED TO MY PRACTICE BECAUSE SPONTANEOUS PAIN AND SENSITIVE TO BITE. TOOTH 4.7 VERTICAL AND HORIZONTAL PERCUSSION. PERIAPICAL RADIOLUCENCY ASSOCIATED TO DISTAL ROOT. LEAKING CORONAL RESTORATION. FIRST SESSION VITAL PULP ON MESIALS. DISTAL WAS NECROTIC MESIALS WERE CONFLUENT APICAL GAUGE #55. GUTTA+TOP SEAL WITH WARM VERTICAL PURULENT EXUDATE IN DISTAL. CA(OH)2 FOR FOUR WEEKS SECOND SESSION DISTAL APICAL GAUGE LARGER THAN #100. 5 mm MTA PLUG WET COTTON PELLET. 24 HOURS LATER DISTAL THE CORONAL PORTION OF DISTAL CANAL WAS FILLED WITH GUTTAPERCHA MARCH 2010 SIX MONTHS RECALL. PATIENT IS ASYMPTOMATIC AND HEALED PERIAPICAL RADIOLUCENCY. CORONAL RESTAURATION SUCKS.- Javier.
