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<td height="42" colspan="3"><strong><font size="2">
<span style="font-family: Trebuchet MS">Case Study 2</span></font></strong></td>
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<td width="8"><font face="Arial" color="#000000" size="2">
<p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt"> </font></td>
<td width="26">
<p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt"> </td>
<td width="672" colspan="2"> </td>
</tr>
<tr>
<td height="220" width="8" rowspan="4"> </td>
<td height="53" width="26" valign="top">
<p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt" align="left"> </td>
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<p class="MsoNormal">
<span style="font-size: 10.0pt; font-family: Trebuchet MS">41
year old
patient was referred for two possible root canal fillings on the
24 and 23. Prior to his consultation the patient had been in
considerable discomfort.</span></p>
<p class="MsoNormal" style="margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; margin-bottom: 0pt" align="left">
<b>History:</b></p>
<p class="MsoNormal" style="margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; margin-bottom: 0pt" align="left">
<b><span style="font-size: 10.0pt; font-family: Trebuchet MS">
Medical History:</span></b></p>
<p class="MsoNormal" style="margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; margin-bottom: 0pt" align="left">
<b>
</b><span style="font-size: 10.0pt; font-family: Trebuchet MS">
Fit and healthy, non contributory medical history.</span></p>
<p class="MsoNormal" style="margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; margin-bottom: 0pt" align="left">
<span style="font-size: 10.0pt; font-family: Trebuchet MS"><b>
Dental History:</b></span></p>
<p class="MsoNormal" style="margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; margin-bottom: 0pt" align="left">
<b>
</b><span style="font-size: 10.0pt; font-family: Trebuchet MS">
Heavily restored dentition.</span></p>
<p class="MsoNormal" style="margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; margin-bottom: 0pt" align="left">
<span style="font-size: 10.0pt; font-family: Trebuchet MS">
Pain and discomfort associated with the 23 and 24.</span></p>
<p class="MsoNormal" style="margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; margin-bottom: 0pt" align="left">
<span style="font-size: 10.0pt; font-family: Trebuchet MS">The
23 responded positively to thermal and electric stimulation.</span></p>
<span style="font-size: 10.0pt; font-family: Trebuchet MS">
The 24 responded negatively to thermal and electric stimulation.</span><p class="MsoNormal" style="margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; margin-bottom: 0pt" align="left">
<b><span style="font-size: 10.0pt; font-family: Trebuchet MS">
Periodontal Condition:</span></b></p>
<p class="MsoNormal" style="margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; margin-bottom: 0pt" align="left">
<b>
</b><span style="font-size: 10.0pt; font-family: Trebuchet MS">
Oral hygiene was of an acceptable standard.</span></p>
<p class="MsoNormal" style="margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; margin-bottom: 0pt" align="left">
<span style="font-size: 10.0pt; font-family: Trebuchet MS">
Periodontal probing (23): 4mm pocket palatally.</span></p>
<p class="MsoNormal" style="margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; margin-bottom: 0pt" align="left">
<span style="font-size: 10.0pt; font-family: Trebuchet MS">
Probing depths (24) with in normal limits.</span></p>
<p class="MsoNormal" style="margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; margin-bottom: 0pt" align="left">
<b><span style="font-size: 10.0pt; font-family: Trebuchet MS">
Diagnosis:</span></b></p>
<p class="MsoNormal" style="margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; margin-bottom: 0pt" align="left">
<b>
</b><span style="font-size: 10.0pt; font-family: Trebuchet MS">
23: Irreversible Pulpitis due to gross caries.</span></p>
<p class="MsoNormal" style="margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; margin-bottom: 0pt" align="left">
<span style="font-size: 10.0pt; font-family: Trebuchet MS">24:
Necrotic Pulp.</span></p>
<p class="MsoNormal" style="margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; margin-bottom: 0pt" align="left">
<b><span style="font-size: 10.0pt; font-family: Trebuchet MS">
Treatment Plan:</span></b></p>
<p class="MsoNormal" style="margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; margin-bottom: 0pt" align="left">
<b>
</b><span style="font-size: 10.0pt; font-family: Trebuchet MS">
Extraction of the 23 and 24, and the provision of Implants, long
span bridge or </span></p>
<p class="MsoNormal" style="margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; margin-bottom: 0pt" align="left">
<span style="font-size: 10.0pt; font-family: Trebuchet MS">
removable partial denture.</span></p>
<p class="MsoNormal" style="margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; margin-bottom: 0pt" align="left">
<b><span style="font-size: 10.0pt; font-family: Trebuchet MS">
Treatment provided:</span></b></p>
<p class="MsoNormal" style="margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; margin-bottom: 0pt" align="left">
<b>
</b><span style="font-size: 10.0pt; font-family: Trebuchet MS">
Root canal filling (24) over two appointments.</span></p>
<p class="MsoNormal" style="margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; margin-bottom: 0pt" align="left">
<span style="font-size: 10.0pt; font-family: Trebuchet MS">Root
canal filling over two appointments.</span></p>
<p class="MsoNormal" style="margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; margin-bottom: 0pt" align="left">
<span style="font-size: 10.0pt; font-family: Trebuchet MS">
Instrumentation was completed using flexo-files and GT hand
Rotaries. </span></p>
<p class="MsoNormal" style="margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; margin-bottom: 0pt" align="left">
<span style="font-size: 10.0pt; font-family: Trebuchet MS">
Copious amounts of full strength hipo-chlorite and chlorhexidine
was used as irrigant.</span></p>
<p class="MsoNormal" style="margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; margin-bottom: 0pt" align="left">
<span style="font-size: 10.0pt; font-family: Trebuchet MS">
Inter-appointment dressing – Ca(OH)<sub>2.</sub></span></p>
<p class="MsoNormal" style="margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; margin-bottom: 0pt" align="left">
<sub>
</sub>
<span style="font-size: 10.0pt; font-family: Trebuchet MS">
Temporary restoration: Cotton wool/ IRM.</span></p>
<p class="MsoNormal" style="margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; margin-bottom: 0pt" align="left">
<span style="font-size: 10.0pt; font-family: Trebuchet MS">
Obturation was completed using Cold Lateral condensation, Warm
Vertical Condensation.</span></p>
<p class="MsoNormal" style="margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; margin-bottom: 0pt" align="left">
<span style="font-size: 10.0pt; font-family: Trebuchet MS">
Sealer used: Roth’s Root canal cement.</span></p></td>
<td valign="top" align="left" height="220" width="8" rowspan="4">
<p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt"> </p>
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Post-Operative Radiograph</td>
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Six month follow-up</td>
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