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Draining buccal sinus :Resorption case
The opinions within this web page are not ours. Authors have been credited for the individual posts where they are
From: "Bill Seddon" To: "ROOTS" Sent: Thursday, November 13, 2003 12:37 AM Subject: [roots] Resorption Case Started this case today, draining buccal sinus was the only presenting symptom. Gp cone rad taken. Tooth non responsive to EPT or thermal testing and no abnormal probings. A little bleeding on entering the buccal canal, but not much, I instrumented to 1 mm short of the RT, had red splodges on paper points around the area of the lesion. I could get the canals dry and then placed Ca)oh)2. There is more to be done at the next visit assuming the sinus has gone. I am thinking this is internal resorption as I can't see the canal through the lesion and it doesn't move outside of the root in the angled films, I got the Ca(OH)2 to come out of the sinus tract, and am keeping everything crossed. Am I flogging a dead horse here? I am debating whether to fill with MTA, I figure with its biocompatibility and the likelihood of some obturation material exiting the tooth laterally that it would be the best option. Should I just stick with GP? I look forward to the follow up - Bill

Interesting case, Bill, I would use MTA.... Marga In ur case i feel that calcium hydroxide should give a good result. no reason to go on to use MTA at this point of time - Ajit Shaligram BILL, Isn't it strange to find the pulp bleeds after you found a draining tract? Sure it surprised you.. .Did you check, or do you rememedber if the canal that showed bleeding was the same in which you suspect the internal resorption? - Marcos Arenal

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