Nice Case

[gpg]

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HI all

thought I will share this case with you all.Patient reported with complaint of pain in the upper right 1st PM whenever he has an attack of cold/sinusitis.

The 2nd PM is extracted,but there is a small root piece remaining.

There is a bridge with 1st PM and 1 Molar as abutments.

1st PM has been RC treated.

The IOPA clearly shows the root of the 1st PM lying very close to the floor of the sinus and the periapical has extended into the sinus.

I will be re-doing the RC for 1st PM and have refered the patient to the ENT for a possible cadwel-luc.

Nice one eh?

 

[omsres]

HI all

thought I will share this case with you all.Patient reported with complaint of pain in the upper right 1st PM whenever he has an attack of cold/sinusitis.

The 2nd PM is extracted,but there is a small root piece remaining.

There is a bridge with 1st PM and 1 Molar as abutments.

1st PM has been RC treated.

The IOPA clearly shows the root of the 1st PM lying very close to the floor of the sinus and the periapical has extended into the sinus.

I will be re-doing the RC for 1st PM and have refered the patient to the ENT for a possible cadwel-luc.

Nice one eh?

Just one question, Why didn't you refer to OMS?

 

[gpg]

Thats a good question.But the ENT I have sent the patient to is an awesome surgeon,great doctor and well respected in the dental-medical circle here.

But the natural course of action would be to refer to an OMS.

Also the patient has been going to the ENT for quite some time.

 

[omsres]

Thats a good question.But the ENT I have sent the patient to is an awesome surgeon,great doctor and well respected in the dental-medical circle here.

But the natural course of action would be to refer to an OMS.

Also the patient has been going to the ENT for quite some time.

Fair enough.

 

[DrJeff]

My favorite ENT story, and I greatly respect ENT's and have a very good friend that it one.

I'm in my residency, we're taking a special needs patient to the OR for a combined dental and ENT case. I'm setting up all our instruments, and the ENT attending (he was about 40 at the time) comes over to say hi, and as he's looking at our instruments, he sees the wooden wedges, and says to me in a serious voice "wow, you guys still make wooden teeth" 😀

 

[gpg]

A senior of mine was the nervous type....and forgot to put in a wedge in his final operative pracs(which requires us to do a class II amalgam restoration).....so the examiner had a look at the tooth with the band and lining done just prior to the filling part.Not seeing the wedge,he softly asked him,"wedge?".....Mr.Nervous replied,

"No sir,non-veg!"

The examiner was busy laughing his heart out for the next ten minutes!