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overextension, broken file, apical perforation

From: Sergiu Nicola To: ROOTS Sent: Thursday, April 30, 2009 1:40 AM Subject: [roots] overextension, broken file, apical perforation Four months ago this tooth was vital, with a big restoration on it. All started with a pulpitis. The referal did the initial RCT , and yes, he broke a file on MB Everithing was ok, he obturated, pain has gone. Three months ago the pain started again. The referal tried to retreat it, he managed to do the distal, pain has gone, he obturated again. Two months ago the pain, yes again the pain..... he tried to retreat it for the second time - this time he managed to do an apical perforation, triing to bypass the broken file. And yes, he remembered me this time. He called me. He refered the patient to me............. I think the pictures concludes our story - Sergiu

Sergiu, Great save and great service to the patient! Nice documentation too! - Maarten Hi Nicola, Great service for this patient, I hope that you made the BU, if no (seen the work done in #30) #31 doesn´t last to go to the Rubbish bin. Enormous efford for this referral. You should remember him/her that you are skilled to do endo, sincerely listening the story and the #30 treatment if he/she made, I politely advice not to do endodontics until it doesn´t have trained to. Explain how many time and money it had loose and what about the patient time-money-health? I hope you informed the patient (and the referral) about the "potencial problem" on #30. Educating the patients on health care and referrals is a must. - Nuria Campo

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