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Bleaching related external root resorption (by Ilya Mer)

All clinical cases Cases by Ilya Mer Endodontics External resorption Follow upPublished July 21, 2014 at 7:09 am Comments Off on Bleaching related external root resorption (by Ilya Mer)

First endo 11 years ago due to caries. 4 years before patient complained of discoloration then bleaching with H2O2 was done. Actually the bleaching technique is not exactly known, it was walking method for sure

Patient presented with sinus tract and discomfort in area of 1.1 (8)Sinus tract leaded to cervical part with typical notch

Patient presented with sinus tract and discomfort in area of 1.1 (8)
Sinus tract leaded to cervical part with typical notch

after access and restoration removal I found perf of distal wall full of bleeding granulation tissue

after access and restoration removal I found perf of distal wall full of bleeding granulation tissue

partial desobturation and calcium hydroxide dressing was done. 3 days later patient called and said thad sinus tract disappeared. Next visit I completed BMI and one week more dressing. No longer sinus tract appeared

partial desobturation and calcium hydroxide dressing was done. 3 days later patient called and said thad sinus tract disappeared. Next visit I completed BMI and one week more dressing. No longer sinus tract appeared

Perforation view in the beginning and in the end of the second visit.

Perforation view in the beginning and in the end of the second visit.

Perf was closed with BC putty and cana was obturated with WVC. Hope it stops the resorption otherwise I will have to raise the flap and clean it surgically

Perf was closed with BC putty and cana was obturated with WVC. Hope it stops the resorption otherwise I will have to raise the flap and clean it surgically

First time recall - 3 months. No complaints, no sinus tract, no tenderness to percussion and palpation.

First time recall – 3 months.
No complaints, no sinus tract, no tenderness to percussion and palpation.

 

 

 

 

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