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overextension, broken file, apical perforation
From: Sergiu Nicola
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