3.5 Year Recall on C-shaped Man. 2nd Molar

RhondaC-18

Abscessed pulp on entry. Crown cemented within 6 months of visit to our office. 17/.04 V-Tapers. Three months of Calcium hydroxide with a change in between. Last Radiograph is a 3.5 year recall.

Recommend0 recommendationsPublished in Cases

Nishan Odabashian

5
Leave a Reply

Please Login to comment
5 Comment threads
0 Thread replies
0 Followers
 
Most reacted comment
Hottest comment thread
2 Comment authors

  Subscribe  
newest oldest most voted
Notify of

It’s exactly this sort of case that I am hoping the GW tool will move from a multi-visit approach to a single visit approach.

Hope springs eternal….

gbc

Ah……the fact is almost every C-shaped anatomy has a “missed” canal. Let’s assume you are correct—but we have radiographic resolution—despite what must be billions of microorganisms still present. And trust me, they are still alive.

Hmm…how could that be? Since the patient-centered outcome and the disease-centered outcome appear optimal….well, maybe addressing all the anatomy—the process-centered outcome—isn’t all what it’s cracked up to be?

gbc

What you can say about this case is you have an optimal outcome at year 3.5. You can’t draw useful inferences from any one case or even any group of cases unless they follow strict CONSORT guidelines and you follow those cases over a longer time frame. Such guidelines are seldom, if ever, done in endodontics. For many patients, an “optimal” result would be the outcome at 15 years…or even longer. Ever tried getting 15-20 year recalls into your office? Careful retrospective analysis of outcomes (using an ITT approach) shows that results with less than a minimum of 85% recall… Read more »

What might help you in understanding better how to evaluate retrospective studies and how you need to be careful in drawing inferences from such studies is to spend some time in learning what the medical community has learned in studying this issue. At TDO we have spent 5 years studying these issues so we have a little different perspective on the topic than you do.

https://drive.google.com/file/d/0BxrQBZNFORlDWHo1dVVNTDVUdU0/view?usp=sharing

https://drive.google.com/file/d/0BxrQBZNFORlDQlZOdGFsRkxpMW8/view?usp=sharing

https://drive.google.com/file/d/0BxrQBZNFORlDb3hSZk5IWWNlYUk/view?usp=sharing

https://drive.google.com/file/d/0BxrQBZNFORlDMUlTWVg0OXYtYlE/view?usp=sharing

https://drive.google.com/file/d/0BxrQBZNFORlDZnI4TDdsV2d5U2M/view?usp=sharing

@

Not recently active