RCT

[charmi_shah]

Hi,

Just recently had a patient complaining of temporary mobility with Rc treated tooth after bmp.Can anyone guide me regarding the cause and does it happen often?Thanks.

Regards.

        

[Anonymous]

one cause could be detected/undetected periapical lesion.

is there pain ? what does the IOPA show.

or there could be extrusion of debris in the periapical due to aggressive BMP.

a fracture is another possibility.

u can also post the radiographs on the forum.

regards,

Veerendra

        

[charmi_shah]

IOPA had slight periapical lesion. bmp done within working length in 2 sittings. But the mobility was there for few days 2-3days but is now normal.So just wanted to know whether does that happen often?thanks so much for your response.

Regards.

        

[Anonymous]

even if BMP is done within working length it can cause extrusion of debris in the periapical.

it depends on how the BMP is done.

Interestingly how would u know that the BMP is done within FWL. FWL has to be guessed by a combination of 3 methods. one is an IOPA , 2nd is apex locator, 3rd is a paper point.

Apex locator is only to confirm. it cannot be relied on completely.

pack the canal with calcium hydroxide or Vitapex (if pt. can afford). wait for a week and see the respone.

hope this helps.

regards,

Veeren

        

[charmi_shah]

thanks.

        

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