[Oradlist] RCT & mandibular canal

[Leif Kullman]

Hi Stu

I once saw a similar case in Sweden (Academic Hoptital
in Uppsala). But that patient had received an excess
of guttapercha displaced into the mand. canal and he
had symptoms of course. I know the surgeons removed
it, they said it was rather difficult but the symptoms
of the patient faded away.

All the best Leif Kullman
Faculty of Dentistry, Kuwait University

--- "Stuart C. White" <swhite at ucla.edu> wrote:

> Hi folks,
> 
> Here is an interesting case that just came in and
> your comments are desired.
> 
> Five days ago a patient received root canal
> treatment because of deep 
> caries. See Fig. 1. The next day the patient called
> in that she was 
> numb in the mandibular nerve distribution. A second
> radiograph was 
> made - Fig. 2. Note penetration of CaOH through apex
> of distal root 
> of the second molar and into the mandibular canal.
> Endodontist is 
> experienced and says that there was nothing unusual
> about this case.
> 
> So the question is how to manage the patient. The
> patient has been 
> put on steroids. What else should be done? Open the
> canal and wash? 
> ???
> 
> In the interest of time please copy any suggestions
> to the clinicians 
> managing this case (drendox at aol.com,
> graffs at cshs.org).
> 
> Thanks,
> 
> Stu
> > _______________________________________________
> Oradlist mailing list
> Oradlist at lists.ucla.edu
>
http://lists.ucla.edu/cgi-bin/mailman/listinfo/oradlist
> 


Leif Kullman DDS, PhD
Assoc. Professor
Oral and Maxillofacial Radiology
Faculty of Dentistry
Kuwait University

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