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A bad canine

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Anonymous
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Hello everybody !!
Female patient . Age around 38 years.
Medical: Acidity . Taking medications for the same.
Anxiety. Sometimes gets palpitations during dental treatment. Physician has prescribed her anxiolytics for the same which she takes regularly.
She came to me for implants for LR6 lower right first molar and LL4 ( lower left first premolar).
LR6 implant has been already been placed and a prosthesis will be made after 6 weeks.
She does not want any other treatment to be done now. All her bridges have been made elsewhere.
I think I must not place implant in LL4 as from the radiograph it seems that the lower left canine is not non-vital and has a periapical lesion or a endo –perio lesion around it ?????
What does the forum think ?
Any inputs will be greatly appreciated .
Regards,
Veeren[attachment=0]Feroz cropped.jpg[/attachment]

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tirath's picture
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Joined: 31 Oct 2009
Re: A bad canine

perform root canal treatment procedure...

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drsantoshpatil's picture
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Re: A bad canine

Make an IOPA, it gives better contrast and resolution in comparison to OPG, it will also help to rule out any shadow superimposing over the canine

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gaurang_thanvi2003's picture
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Re: A bad canine

What is the marital status and how many child she have?With whom she came to u?what is the behaviour she shows u?

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Anonymous
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Re: A bad canine

gaurang_thanvi2003 wrote:
What is the marital status and how many child she have?With whom she came to u?what is the behaviour she shows u?

married with two children. Basically she has anxiety and she is a dental phobic.

however she is well aware of her problems and has considerable insight into her own state of mind.

Such patients eventually become one of our most co-operative patients.

She was given anxiolytics by her physician for some time. Now her physician has asked her to stop them.

She now takes them only before dental treatment sessions.

Many dentists miss out such patients who would like to get themselves treated but cannot do so because of phobia or anxiety.

Regards,

Veeren

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divyanshee's picture
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Re: A bad canine

Confirm the vitality of canine by electronic pulp tester

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Anonymous
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Re: A bad canine

divyanshee wrote:
Confirm the vitality of canine by electronic pulp tester

as u can see it is crowned. so i dont think it will be possible to confirm the vitality of the canine

veeren

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shreya's picture
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Re: A bad canine

crown may be removed orelse a small vent may be created in crown to permit pulp testing

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gaurang_thanvi2003's picture
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Re: A bad canine

I am thinking from a long time that she has a psychological phobia,due to rude behaviour by any dentist in previous treatment so we have to change mental picture of dentist in her eyes.Then go for any implant,crown,RCT with mild antianxiety drug therapy.

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