RE: ore 1 rct

[Guest guest]

I would warn the patient about it and keep a watch on the said tooth to see if an active infection developed. I would no treat nor would I prescribe any antibiotic at this point.

Please correct me if I am wrong.

Thanks,

Ana

From: nauman_ayesha <nauman_ayesha@...>Subject: ore 1 rct Date: Monday, 22 August, 2011, 16:39

what would u do if a pt comes with asymptomatic root canal traetment with periapical radiolucency traeted by some other dentist?

[Guest guest]

if active infection does not develop and radiolucency persist......what will be the treatment plan then? From: anadunlop@...Date: Mon, 22 Aug 2011 23:30:24 +0100Subject: Re: ore 1 rct

I would warn the patient about it and keep a watch on the said tooth to see if an active infection developed. I would no treat nor would I prescribe any antibiotic at this point.

Please correct me if I am wrong.

Thanks,

Ana

From: nauman_ayesha <nauman_ayesha@...>Subject: ore 1 rct Date: Monday, 22 August, 2011, 16:39

what would u do if a pt comes with asymptomatic root canal traetment with periapical radiolucency traeted by some other dentist?

[Guest guest]

There are 2 routes which you can take: one, is to do re-root the canal, by taking the old filling and placing a new one, but if the reason for failure is not a poorly done treatment, this is likely to fail just the same.

The most efficient, albeit more complicated treatment, is the apicectomy.

All these treatments are costly, and extraction is a simpler and cheaper alternative, of course. And bearing in mind the cost and hassle, and the fact that redoing a root canal treatment has less chances even of success than when it s done the first time, extraction should be given as an option - but of course, if that would be the patient s choice, it s best to do so only if infection develops.

Neither of these treatments, I don't think, are indicated, until infection evolves OR the radiolucency is getting bigger.

So, my treatment planning would be to watch, take 6 monthly PAs and compare. I hope this is of some help,

Regards,

Ana Dunlop

From: nauman_ayesha <nauman_ayesha@...>Subject: ore 1 rct Date: Monday, 22 August, 2011, 16:39

what would u do if a pt comes with asymptomatic root canal traetment with periapical radiolucency traeted by some other dentist?

[Guest guest]

thanks for explaining ANNA :)i think we should go for follow up to see weather the swelling enlarges or not or any occurrence of the infectionif we suspect that the radiolucency is a radicular cyst then ..eventually the RCT will fail after few year...so in order to permanently restore the tooth ....what could be the possible treatment then .....my opinion is apisectomy and re root canal correct me if i am wrong regards From: anadunlop@...Date: Tue, 23 Aug 2011 13:24:25 +0100Subject: RE: ore 1 rct

There are 2 routes which you can take: one, is to do re-root the canal, by taking the old filling and placing a new one, but if the reason for failure is not a poorly done treatment, this is likely to fail just the same.

The most efficient, albeit more complicated treatment, is the apicectomy.

All these treatments are costly, and extraction is a simpler and cheaper alternative, of course. And bearing in mind the cost and hassle, and the fact that redoing a root canal treatment has less chances even of success than when it s done the first time, extraction should be given as an option - but of course, if that would be the patient s choice, it s best to do so only if infection develops.

Neither of these treatments, I don't think, are indicated, until infection evolves OR the radiolucency is getting bigger.

So, my treatment planning would be to watch, take 6 monthly PAs and compare. I hope this is of some help,

Regards,

Ana Dunlop

From: nauman_ayesha <nauman_ayesha@...>Subject: ore 1 rct Date: Monday, 22 August, 2011, 16:39

what would u do if a pt comes with asymptomatic root canal traetment with periapical radiolucency traeted by some other dentist?

[Guest guest]

Spoke to a friend today and he says, yes, watch and if there are signs of progression, re-root first (as it's more conservative), watch again and, if it doesn't work, apicectomy. I thought it was the other way around, but my friend said otherwise.

Regards,

Ana

From: nauman_ayesha <nauman_ayesha@...>Subject: ore 1 rct Date: Monday, 22 August, 2011, 16:39

what would u do if a pt comes with asymptomatic root canal traetment with periapical radiolucency traeted by some other dentist?

[Guest guest]

I agree. What is important to know is how long ago was the previous treatment done as it can be the "scar" from the previous lesion. If recent (the last 6-12 months) it only needs no be monitored, otherwise, think of re-treatment or apicectomy depending on the caseFrom: Ana carolina Soares dunlop <anadunlop@...> Sent: Monday, 22 August 2011, 23:30Subject: Re: ore 1 rct

I would warn the patient about it and keep a watch on the said tooth to see if an active infection developed. I would no treat nor would I prescribe any antibiotic at this point.

Please correct me if I am wrong.

Thanks,

Ana

From: nauman_ayesha <nauman_ayesha@...>Subject: ore 1 rct Date: Monday, 22 August, 2011, 16:39

what would u do if a pt comes with asymptomatic root canal traetment with periapical radiolucency traeted by some other dentist?

[Guest guest]

yep, good point!

Cheers

From: nauman_ayesha <nauman_ayesha@...>Subject: ore 1 rct Date: Monday, 22 August, 2011, 16:39

what would u do if a pt comes with asymptomatic root canal traetment with periapical radiolucency traeted by some other dentist?