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Pulsing pain and moderate percussion sensitivity- Courtesy ROOTS
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Authors have been credited for the individual posts where they are. - www.rxroots.com

From: RafaŽl Michiels
Sent: Tuesday, March 24, 2009 11:26 PM
Subject: [roots] Would you resect this completely or not?

This was a patient which I treated today. (The first part of the treatment)
The tooth was treated with an apex resection a few years ago, no orthograde
treatment was done. Retrofill with AA.

His current complaints were pulsing pain and moderate percussion sensitivity.
I decided to do an orthograde treatment.
I cleaned the canal, no fractures were present, MAF was +120. I obturated the
entire canal with glass ionomer cement until the AA plug.
The second part will be a new apex resection with removal of the AA.

My question now is:
Is it better to do a complete resection to the level of the Glassionomer, or
would you try to remove the AA plug and place a new plug with a more biocompatibel
material without resecting the apical part of the root (or at least not alot)?
- RafaŽl

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