[Oradlist] RCT & mandibular canal

[Koenig, Lisa]

Stu,  This is an incredible coincidence.  I had a similar case I was
looking at yesterday.  I spoke with our endodontist here, Jim Bahcall,
and he said he had one other case a few years ago and that the
paresthesia disappeared over a period of about 6 months without any
treatment. Lisa


Lisa J. Koenig BChD, DDS, MS
Program Director, Oral Medicine and Oral Radiology 
Marquette University School of Dentistry, Rm: 370
PO Box 1881
Milwaukee, WI 53201-1881
Tel: (414) 288-5675
Fax: (414) 288-6081

-----Original Message-----
From: oradlist-bounces at lists.ucla.edu
[mailto:oradlist-bounces at lists.ucla.edu] On Behalf Of Stuart C. White
Sent: Thursday, January 26, 2006 3:36 PM
To: oradlist at lists.ucla.edu
Cc: drendox at aol.com; graffs at cshs.org
Subject: [Oradlist] RCT & mandibular canal

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