Real World Endo Forum


Forums_intro_video_mini

Welcome! If this is your first visit, be sure to check out the FAQ (link above). You may have to register or sign in before you can post.

Endo Questions for the RWE Faculty:

In this area, users are encouraged to ask questions from the RWE Faculty regarding Endodontics in General and the EndoSequence Technique.

Endo Questions for the RWE Faculty:: retained decidous molar tooth no.65

Missing

Joined: March 2014

Rank: Sergeant

Posts: 22

#1
I had a query regarding a case.PAtient name reem age 14 year old has a deciduous molar in the left side which has an abscess.filling was done before involving pulp irt 65.the permanent tooth no.25 (premolar) is missing.I had taken opg xray and rvg xray.I had told them two options one is to go for rct and the other option is extraction and implant.
Kindly see and advise me your opinion. Thank you. Regards. Dr jamilee.

Attachments: Reem_jasim_111642206 Ali_alisa_reem_jasim_(5-22-2018_11h16_pm)

Allen_ali_nasseh

Joined: August 2013

Rank: Faculty General

Posts: 299

#2
In reply to jamilee john there's important question about probing and remaining coronal tooth structure that's not provided. Since the tooth is a primary tooth the ability to do adequate RCT after such large abscess is questionable. You can try Ca(OH)2 after full pulpectomy and assess healing after a couple of weeks. If asymptomatic, then you might as well fill and observe. If patient is not willing to take a chance then just go to implant. They key is patient motivation and your frank conversation about what you can promise and what you can't. Good luck! :)