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The
invited case # 19 : Dr. Yosef Nahmias
Our nineteenth guest was Dr. Yosef Nahmias, founder of the Endoweb, in Oakville, Ontario, Canada.
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As commented by Dr. Nahmias: " This is a cool one! Patient came to the office with swelling at the level of the apex of 1.4 (5 in the U.S.). Took pa and this is what we saw. |
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Three options were given : Extraction, Retreatment and Surgery Upon reviewing the case, it was decided that the best alternative was a surgical exposure in order to seal the apices and check for cracks, perforatins etc. Here are the pics |
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This was probably a perforation created when the DDS tried to do the RCT. We decided to clean up the area, |
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and seal the defect with geristore. |
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Then came the fun! Buccal root was esposed, no canal could be detected (no catch at all!). But the difficult part was locating the palatal root, I had to drill about 1 inch of bone b4 I found it. The problem was to also mantain as much of the buccal root as possible with out exposing the buccal defect! Fun fun fun. |
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Finally, the palatal root was located (no catch at the apex either!). Small retropes were made , and sealed with optibond! |
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optibond being applied to seal Buccal apex |
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View of palatal root |
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View of buccal root |
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Final pa, |
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I think that the surgical approach for this case was the right one! Time will tell! The patient was seen two days after the surg to have stiches removed, and then a week later to assess healing! So far, so good! " |
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Clinical cases by prior guests
# 1 - Dr. Gary Carrccc# 2 - Dr. Yosef Nahmiasccc# 3 - Dr. Peter Cancellierccc# 4 - Dr. Gary Carr
# 5 - Dr. Yosef Nahmiasccc# 6 - Dr. Uziel Blumenkranzccc# 7 - Dr. Joaquín Pérez Seguraccc# 8 - Dr. Uziel Blumenkranz
# 9 - Dr. Yosef Nahmiasccc#10 - Dr. Yosef Nahmiasccc#11 - Dra. Andreína Avendañoccc#12 - Dr. Yosef Nahmias
#13 - Dr. Giorgio Uccelliccc#14 - Dr. Ken Serotaccc#15 - Dr. Jerry Avillionccc# 16 - Dr. Gary Carrccc# 17 - Dr. Gary Carr
¿Do you have an interesting clinical case that you would like to share with all of us ? Please send us an e-mail to carlosboveda@carlosboveda.com.
Carlos
Bóveda Z.
March
2002 carlosboveda@carlosboveda.com