Haven’t
posted for a while, for the same reasons as Bojidar explained. Now
things start to settle (and I get more sleep :-),,) I hope to find more
time to prepare cases.
Here is a recall of a case
I did earlier on. This guy had been complaining of chronic sinusitis
(unilaterally) for more than 1 year. He consulted an ENT, who prescribed
medication. Because this didn’t do much, a
CT scan was taken. Finally,
he was advised to have his teeth revised. A huge
carious lesion on the
distal of
tooth 16 was hard to miss. Given the
intimate relationship
between the apices of this tooth and the
maxillary sinus , the subsequent
pulp necrosis and apical periodontitis were a very likely cause of his
sinus problems.
Caries was removed, the distal
wall rebuilt with GIC. Four canals were cleaned, shaped and disinfected
in 2 visits,
Ca(OH)2 interim. On the second visit, the buccal swelling
had disappeared and he noted a vast improvement in the earlier symptoms.
Obturation with gutta percha/AH+ warm vertical.
1.5
year later, he is symptom-free and the radiograph shows satisfactory
healing of the apical lesions. Sorry for not having
pulp chamber
pictures of this one. Welcome your comments!
Maarten
Belgium – still without a government!
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