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Interesting case II

Discussion in 'Dental' started by Shiko, Jun 3, 2002.

  1. Shiko

    Shiko Member
    10+ Year Member

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    Hey Drs ,
    I started this case more than 5 months ago , An open apex in a lower lateral incisor with history of trauma , X-rays showed immature apex and radiolucency periapically . ( refer to interesting case ) .
    Well,What I did along the past five months was opening the root canal , careful filing and copious irrigation and filling the canal with Ultradent Calcium hydroxide paste .
    I have been doing this every 10 days for 5 months and guess what happened ?
    First , A slight radio-opaque lining could be seen along the apical root part with slight narrowing of the apex .
    second , the Radiolucent area encircling the apex started showing a radio opaque well demarcated area ( i'm not sure whether that means that bone is being formed or not ) . But still the progress is extremely slow and I am wondering if it's wise to obturate the canal using the Soft Gutta percha technique or should I better wait till the periapical radiolucency is reduced in size ..
    Any Suggestions here ?
    :rolleyes:
     
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  3. solafide74

    solafide74 Member
    7+ Year Member

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    </font><blockquote><font size="1" face="Verdana, Helvetica, sans-serif">quote:</font><hr /><font size="2" face="Verdana, Helvetica, sans-serif">Originally posted by Shiko:
    <strong>Hey Drs ,
    I started this case more than 5 months ago , An open apex in a lower lateral incisor with history of trauma , X-rays showed immature apex and radiolucency periapically . ( refer to interesting case ) .
    Well,What I did along the past five months was opening the root canal , careful filing and copious irrigation and filling the canal with Ultradent Calcium hydroxide paste .
    I have been doing this every 10 days for 5 months and guess what happened ?
    First , A slight radio-opaque lining could be seen along the apical root part with slight narrowing of the apex .
    second , the Radiolucent area encircling the apex started showing a radio opaque well demarcated area ( i'm not sure whether that means that bone is being formed or not ) . But still the progress is extremely slow and I am wondering if it's wise to obturate the canal using the Soft Gutta percha technique or should I better wait till the periapical radiolucency is reduced in size ..
    Any Suggestions here ?
    :rolleyes: </strong></font><hr /></blockquote><font size="2" face="Verdana, Helvetica, sans-serif">hi i had the patient whose dental history was very similar to your pt.
    the teeth i treated was #10 and after i did canal enlargement and dressing i filled the canal with pure calcium hydroxide and changed it every 4 weeks and i could find out the apical stop was formed not by the radiograph but by the #30 k file after 7 months.
    so i filled the canal with gutta percha cone even though there was still somewhat large periapical lesion.
    and unfortunately i failed to keep in touch with my patient so i can't tell you that big periapical lesion is ok now.

    i hope that it helps you.

    i definitely could feel the existence of apical stop and so amazed .
    at that time i was dental student and i bet you could understand that excitement. <img border="0" alt="[Clappy]" title="" src="graemlins/clappy.gif" /> <img border="0" alt="[Clappy]" title="" src="graemlins/clappy.gif" />
     

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