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Obvious major circumferential radioluscency - Courtesy ROOTS

The opinions and photographs within this web page are not ours. Authors have been credited for the individual posts where they are - www.rxroots.com
From: gary l. henkel d.d.s.
Sent: Wednesday, September 23, 2009 10:37 PM
Subject: [roots] opinions please

Ok endodontically inclined.  Am I nuts to treat this, or do you think we have a chance.   Patient reported
on 9/2 for routine exam, obvious major circumferential radioluscency was discussed.  I advised patient this
may be vfr and may require extraction.   Except I can find NO evidence of it other than mesial apices are big,
but I was able to establish a capture zone with a #70 at 19mm on both mesial canals.  I have no excessive
probing on the mesial, tooth is asymptomatic (I had to convince patient something wrong wasn’t right),
no significant bleeding, floor of access completely intact, no perfs.  Films you are looking at are the
caoh2 shots.  The radioluscency shape concerns me,  but so far case has gone very smoothly.

Post in distal root was a fiber post of some variety.  I had my Thomas post puller set up, but that’s useless
on these.  I basically blew through it by bypassing it with hedstroms, then worked backwards with gg’s 2,3,
then 4.  Wasn’t a big deal, but anyone have a suggestion on what to do with these? - Gary L Henkel

Leave it in CaOH for a while and see what happens. I do a few of these every now and then on strategic teeth. Prognosis is uncertain - Dan Shalkey
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