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 Dens Evaginitis
The opinions within this web page are not ours.Authors have been credited
for the individual posts where they are. - photographs courtesy: Ahmad
On Thu, May 1, 2008 at 12:10 AM, ahmad tehrani wrote: Started this case about 2 month ago. raging sinus tract and slight swelling at consult appt. EPT, Cold, Heat all negative response. Traced the ST to the lower premolar. 3-4 weeks later the ST was completely resolved after initial C&S and dressing with Ca(OH)2. obturated a month later. not sure about termination of the apical extent. did I make my made my own canal? or is this where the POE is? I will see him shortly for a recall... will post a follow up. - ahmad

On Thu, May 1, 2008 at 8:00 PM, GRANT MERRITT wrote: Ahmad, Was this a dens evaginatus case? If so, had the tubercle been removed or did it fracture off? What does the contralateral look like? My trusty consultant, Dr. Photoshop, indicates that there was a bifurcation of the canal at the level indicated by your seals. I talked to Watson the other day to get a referral with a neurologist familiar with Ramsey-Hunt syndrome. It's a small world. He suggested the brother of one of my former dental students. As you may know, this form of Bell's Palsy is characterized by a reactivation of Herpes zoster virus in the facial nerve, causing pain in and around the ear. He said he would enjoy a visit. - Grant Good morning Grant: Yes it was Dens Evaginitis. There was a pin point carious lesion within the fold to contaminate the pulp. The tubercle seemed intact, even though it looked like it had been removed before. The contra lateral tooth seemed normal and responded WNL to sensitivity tests. I had never heard of R-H syndrome, it gave me something else to learn. Thanks! Grant you have been a positive influence on many students through out your illustrious career. You know so many people, and the degree of separation is much smaller for you . Thanks for looking at this case. I am planning to recall this patient for a long time too. I have a very interesting D.E. case going on 5 years ......had huge apical radiolucency with an open apex. I need to ask her to come in for a recall and post the case again. - Ahmad Bizarre tooth, Ahmad. I think you did a great job and don't think you made your own POE. - Mark

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