{"id":684,"date":"2017-09-01T03:21:20","date_gmt":"2017-09-01T03:21:20","guid":{"rendered":"http:\/\/www.endostlaurent.ca\/?p=684\/"},"modified":"2018-01-25T05:49:37","modified_gmt":"2018-01-25T05:49:37","slug":"save-or-replace","status":"publish","type":"post","link":"https:\/\/endostlaurent.com\/en\/2017\/09\/01\/save-or-replace\/","title":{"rendered":"SAVE OR REPLACE?"},"content":{"rendered":"<h3 style=\"text-align: center;\"><em>A case study by Dr. Chafic Safi, Centre Endodontique St-Laurent<\/em><\/h3>\n<p>&nbsp;<\/p>\n<p>A 60 year-old Caucasian female presented to our office with a chief complaint:<\/p>\n<blockquote><p>\u201cI have a bump next to my tooth. I have been told the tooth might need to be extracted.\u201d<\/p><\/blockquote>\n<p>&nbsp;<\/p>\n<h2 class=\"title left\">Analysis<\/h2>\n<p>Clinical exam revealed a non- traceable sinus tract around the first lower left molar (tooth #36).<\/p>\n<p>The tooth was heavily restored. The tooth did not respond to any cold, percussion, or palpation. There was a slight buccal probing. Mobility was within normal limits.<\/p>\n<p>Radiological exam revealed deep and extensive restorative work with presence of a radiolucency around the furcation.<\/p>\n<p>The tooth also exhibited heavy chamber and canal calcifications.<\/p>\n<h3>Diagnosis<\/h3>\n<p>The diagnosis was a<strong> necrotic pulp and chronic apical abscess<\/strong>.<\/p>\n\n\t\t<style type=\"text\/css\">\n\t\t\t#gallery-1 {\n\t\t\t\tmargin: auto;\n\t\t\t}\n\t\t\t#gallery-1 .gallery-item {\n\t\t\t\tfloat: left;\n\t\t\t\tmargin-top: 10px;\n\t\t\t\ttext-align: center;\n\t\t\t\twidth: 50%;\n\t\t\t}\n\t\t\t#gallery-1 img {\n\t\t\t\tborder: 2px solid #cfcfcf;\n\t\t\t}\n\t\t\t#gallery-1 .gallery-caption {\n\t\t\t\tmargin-left: 0;\n\t\t\t}\n\t\t\t\/* see gallery_shortcode() in wp-includes\/media.php *\/\n\t\t<\/style>\n\t\t<div id='gallery-1' class='gallery galleryid-684 gallery-columns-2 gallery-size-medium'><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/08\/SauverRemplacerC1.png'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"204\" src=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/08\/SauverRemplacerC1-300x204.png\" class=\"attachment-medium size-medium\" alt=\"Radiographie pr\u00e9-op\u00e9ratoire\" aria-describedby=\"gallery-1-680\" srcset=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/08\/SauverRemplacerC1-300x204.png 300w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/08\/SauverRemplacerC1-768x521.png 768w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/08\/SauverRemplacerC1.png 975w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/dt>\n\t\t\t\t<dd class='wp-caption-text gallery-caption' id='gallery-1-680'>\n\t\t\t\tFigure 1: Radiographie pr\u00e9-op\u00e9ratoire \/ Pre-operative radiograph\n\t\t\t\t<\/dd><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/08\/SauverRemplacerC2.png'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"186\" src=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/08\/SauverRemplacerC2-300x186.png\" class=\"attachment-medium size-medium\" alt=\"Radiographie finale\" aria-describedby=\"gallery-1-681\" srcset=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/08\/SauverRemplacerC2-300x186.png 300w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/08\/SauverRemplacerC2-768x475.png 768w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/08\/SauverRemplacerC2.png 975w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/dt>\n\t\t\t\t<dd class='wp-caption-text gallery-caption' id='gallery-1-681'>\n\t\t\t\tFigure 2: Radiographie finale \/ Post-operative radiograph\n\t\t\t\t<\/dd><\/dl><br style=\"clear: both\" \/>\n\t\t<\/div>\n\n<h2 class=\"title left\">Treatment<\/h2>\n<p>The treatment options offered to the patient were:<\/p>\n<ol>\n<li>Root canal treatment.\u00a0 Prognosis: Favorable<\/li>\n<li>Extraction.\u00a0 Prognosis: Favorable<\/li>\n<\/ol>\n<h3 id=\"tw-target-text\" class=\"tw-data-text tw-ta tw-text-medium\" dir=\"ltr\" data-placeholder=\"Translation\"><span lang=\"fr\">Treatment Selection<\/span><\/h3>\n<p>The patient opted for saving her tooth via a\u00a0<a href=\"http:\/\/www.endostlaurent.ca\/traitement-de-canal\/\"><strong>root canal treatment<\/strong><\/a><strong>.<\/strong><\/p>\n<h3>The Treatment<\/h3>\n<p>The root canal treatment was completed in 2 visits with placement of an intra-canal medicament, Calcium Hydroxide in this case, in order to enhance microbial control.<\/p>\n<p>There was a 14 day-period in between appointments. At the second appointment, absence of sinus tract was confirmed. No antibiotic was prescribed.<\/p>\n<p>There were 4 canals in the tooth. Each canal was cleaned and shaped using new generation rotary files, The XP-Shaper and XP- Finisher. Irrigation was performed using 3% NaOCl during instrumentation. The final irrigation protocol sequence was: 3% NaOCl- 17% EDTA- 2% Chlorhexidine<\/p>\n<p>Root canal obturation was performed using cold hydraulic condensation with Bioceramic Sealer and Bioceramic Gutta Percha. The access cavity was sealed with resin composite. A final restoration with cuspal coverage was advised.<\/p>\n<h3 id=\"tw-target-text\" class=\"tw-data-text tw-ta tw-text-medium\" dir=\"ltr\" data-placeholder=\"Translation\"><span lang=\"fr\">Follow-up<\/span><\/h3>\n<p>6-month follow-up showed absence of any signs or symptoms. There was no more buccal probing. The radiograph shows complete healing of the furcation lesion. A final restoration with cuspal coverage was advised again.<\/p>\n<p>&nbsp;<\/p>\n<hr \/>\n<h2 class=\"title left\">More Information<\/h2>\n<p class=\"title left\">[vc_row css=&#8221;.vc_custom_1503555541359{margin-bottom: 70px !important;}&#8221;][vc_column width=&#8221;1\/2&#8243;][vc_column_text]<\/p>\n<h3><span style=\"font-size: 16px;\">Adv<\/span><strong style=\"font-size: 16px;\">antages of XP files:<\/strong><\/h3>\n<ul>\n<li>Anatomic cleaning<\/li>\n<li>Safe\/no excessive torque<\/li>\n<li>Conservative<\/li>\n<li>Efficient and optimal cleaning<span style=\"font-size: 16px;\">[<\/span>\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_column_text]<\/li>\n<\/ul>\n<h3><strong>Advantages of Bioceramic Sealer<\/strong>:<\/h3>\n<ul>\n<li>Biocompatible<\/li>\n<li>Hydrophilic<\/li>\n<li>Binds to dentin<\/li>\n<li>Bioactive\/ induces stem cell differentiation<\/li>\n<li>Does not shrink<\/li>\n<li>Does not wash out[\/vc_column_text][\/vc_column][vc_row][\/vc_row]<\/li>\n<\/ul>\n<hr \/>\n<h2 class=\"title left\">Additional Images<\/h2>\n\n\t\t<style type=\"text\/css\">\n\t\t\t#gallery-2 {\n\t\t\t\tmargin: auto;\n\t\t\t}\n\t\t\t#gallery-2 .gallery-item {\n\t\t\t\tfloat: left;\n\t\t\t\tmargin-top: 10px;\n\t\t\t\ttext-align: center;\n\t\t\t\twidth: 100%;\n\t\t\t}\n\t\t\t#gallery-2 img {\n\t\t\t\tborder: 2px solid #cfcfcf;\n\t\t\t}\n\t\t\t#gallery-2 .gallery-caption {\n\t\t\t\tmargin-left: 0;\n\t\t\t}\n\t\t\t\/* see gallery_shortcode() in wp-includes\/media.php *\/\n\t\t<\/style>\n\t\t<div id='gallery-2' class='gallery galleryid-684 gallery-columns-1 gallery-size-medium'><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/08\/SauverRemplacerC3.png'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"206\" src=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/08\/SauverRemplacerC3-300x206.png\" class=\"attachment-medium size-medium\" alt=\"Radiographie du suivi au 6\u00e8me mois\" aria-describedby=\"gallery-2-682\" srcset=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/08\/SauverRemplacerC3-300x206.png 300w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/08\/SauverRemplacerC3-768x527.png 768w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/08\/SauverRemplacerC3.png 975w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/dt>\n\t\t\t\t<dd class='wp-caption-text gallery-caption' id='gallery-2-682'>\n\t\t\t\tFigure 3: Radiographie du suivi au 6\u00e8me mois \/ 6-month follow-up radiograph\n\t\t\t\t<\/dd><\/dl><br style=\"clear: both\" \/>\n\t\t<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>A case study by Dr. Chafic Safi, Centre Endodontique St-Laurent &nbsp; A 60 year-old Caucasian female presented to our office with a chief complaint: \u201cI&hellip;<\/p>\n","protected":false},"author":2,"featured_media":789,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[44],"tags":[31,32,11,15,33,41,14,34,35,12,45,36],"class_list":["post-684","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-etude-de-cas-case-study-en","tag-canal-radiculaire-en","tag-cas-dentaire-en","tag-case","tag-case-study","tag-clinique-dentaire-en","tag-dental-case","tag-endodontics","tag-endodontie-en","tag-etudes-de-cas-en","tag-root-canal","tag-root-canal-treatment","tag-traitement-de-canal-en"],"acf":[],"_links":{"self":[{"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/posts\/684"}],"collection":[{"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/comments?post=684"}],"version-history":[{"count":0,"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/posts\/684\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/media\/789"}],"wp:attachment":[{"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/media?parent=684"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/categories?post=684"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/tags?post=684"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}