[Oradlist] RCT & mandibular canal

[Leif Kullman]

Hi again Stu, an interesting link in relation to
"your" case!

http://www.drugs.com/enc/calcium_hydroxide.html

Regards Leif Kullman

--- "Koenig, Lisa" <lisa.koenig at marquette.edu> wrote:

> 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
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> 


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

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