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Web discussions    New additions    22 secrets for healthy smile    X-ray discussions

 Sedation case

The opinions within this web page are not ours. Authors have been credited for the individual posts where they are. - www.rxroots.com -Photos courtesy Richard Schwartz

From: "Richard Schwartz"
Sent: Friday, July 13, 2001 9:19 AM
Subject: [roots] Re: Sedation case

Did a couple molars for this lady today.  She is a nurse, very
intelligent, but a dental phobic.  She is treatment planned for 6 root
canals.  She can't bear the thought of having a root canal and wanted them
to be done under general anesthetic.  No one in town does that.  She ended
up in our office because we are the only endodontists who offer IV sedation.
We gave her some Versed and Demerol and she was a perfect patient.  The
beauty of Versed, of course, is that they rarely remember much afterwards.
We only do sedations about once a month, and discourage patients from having
it whenever possible.  But it is a wonderful thing for those people who need
it.  We use Halcion a from time to time, which usually works very well.  I
had hoped to do more than two teeth today, but the first molar, especially,
turned out to be tough.  Both pulps were necrotic.  Yeah, I know Bill, there
is a void in the distal root of #19.  And no, Fred, no CaOH.  Yosi, how do
you like the YTHT?  Anyone else offer IV sedation or other techniques?


From: Peter Cancellier To: ROOTS Sent: Friday, July 13, 2001 9:54 AM Subject: [roots] Re: Sedation case Wow Rick, I notice the subtle changes we discussed. Fantastic. You are kewl.- Peter
From: "Glenn van As" To: "ROOTS" Sent: Friday, July 13, 2001 9:57 AM Subject: [roots] Re: Sedation case Ricardo Ricardo........I GIVE UP. Outstanding cases, now I know what i was missing when I was gone. Again outstanding, I especially like the second molar. WOW. - Glenn
From: "Adib KASHANI" To: "ROOTS" Sent: Friday, July 13, 2001 10:26 AM Subject: [roots] Re: Sedation case Richard Let me share an interesting anecdote with you.I took over this practice from a Danish dentist. She practiced endo in a very interesting way, she used 0.2% CHX as an irrigant exclusively (apparently bleach stained her clothes, never touched it), she did the treatment in 2, 3 -4 visits and used Ca(OH)2, inter - appointment, never used RD and she obturated the canals with single cone GP + AH26 with no form of condensation. Over the past 5 years that I have followed her cases and I have not found any failures. The interesting thing is , that she preped the canals very much like you do but with less taper. This I think is the only reason her cases work. Those of us with insight, let us take heed. I try to do the preps this way, however, at times when I miscalculate the working length (too long) I really get burnt, any suggestions? Regards
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