Forums › Laser Treatment Tips and Techniques › Soft Tissue Procedures › Failing RCT revisted
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AnonymousGuestJeff, here’s one you inspired me to do !
Pt” target=”_blank”>http://www.rwebstudio.com/cgi-bin….27Pt visited endodontist who diagnosed vertical fracture on 13 and recommended ext.
[img]https://www.laserdentistryforum.com/attachments/upload/evers13.JPG[/img]We decided to place gp point and low and behold-
[img]https://www.laserdentistryforum.com/attachments/upload/evers13gp.JPG[/img]
Decided to try lasing-
GP was 12mm. Lased at 10mm and withdrew as laser was fired.
150 us, 160mj, 20hz 142J550us,180mj,20 hz, 50j
Immediate postop-
1 year follow up-
[img]https://www.laserdentistryforum.com/attachments/upload/evers1yr.JPG[/img]
Thanks for sharing your original case as I have a very happy patient.
Andrew SatlinSpectatorRon,
Aweome case!!! Really unbelievable. Did you consider retx the endo in addition?
You should post this on the periolase section too!Andy
AnonymousGuestThanks, Andy. The patient is a Ford employee who needs lots of things done and for the last year has just been buying time with her dental work due to likely being one of many permanently layed off. If things
change for her $ wise we will look at the endo again but if it stays stable …..???Would you go ahead and retreat?
Andrew SatlinSpectatorRon,
You know I am no authority on endo tx. My last one was in 1992. But, the xray angle makes it look a bit short. I would worry that it might be a source for reinfection.
See ya
Andy
AnonymousGuestWell, my last one was about 1996 so if it gets redone it won’t be by me Andy,If you look at the image w/ the gp it is a much better angle and doesn’t look too bad.
Glenn van AsSpectatorAwesome cool case Ron. Wow.
I think that there is a 2nd canal or 2nd root in this one. The one is filled short but it surprises me on the healing.
If it was me I would wait and see if it stays asymptomatic and lesion free radiographically.
Wow, what a great case.
Glenn
AnonymousGuestQUOTEQuote: from Glenn van As on 9:15 pm on Sep. 11, 2006I think that there is a 2nd canal or 2nd root in this one.
GlennGlenn, I think you may be right. Just thinking out loud here but looking at the 2 xrays, I’m thinking the 2nd is taken more from the mesial (B roots on the molar seem to have moved more distally) and more of a concavity is seen on the distal. So… maybe a palatal canal was treated originally on the Bi and when I went in with the laser I zapped the bugs left behind around the buccal canal ( and with ndyag penetration possibly in?). This will just have to remain speculation for now as I don’t think my patient would let me extract it or cut into the bridge at this point to prove it.
BNelsonSpectatorRon,
I have to agree with Glenn. It looks to me like two roots, maybe one root wasn’t even filled. Making success more questionable.
Nice case and will be interesting to follow.Bruce
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