Tooth #19: Can it be saved?

A few months ago, a 63 year old male presented himself at our office with swelling on the buccal of tooth #19. The swelling was causing him pressure and pain. Tooth #19 was Endodontically treated years prior to his visit at a different office. The patient recently had his crown redone.

It was highly suspected that there might be a fracture by both his general dentist and our office. The best course of action was to take a CT scan.

It was observed that there was an area of low density at the apex of the distal root. The CT also showed three areas high density, posts. These posts appeared at the coronal aspect of the tooth. There was a suggestion of a lesion in the furcation, a possible fracture. It was determined that long-term prognosis was poor. An implant was recommended.

We followed up with the patient and he had the tooth removed. This relived him of his discomfort. He's in the works of having an implant placed.

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New prescription mandate!!

Did you know that the Commonwealth of Virginia amended a bill, early this year, in which it mandates that all prescriptions containing opioids be electronically transmitted? This amendment becomes effective July 1, 2020. The code of Virginia §54.1-3408.02 reads: “A. Consistent with federal law and in accordance with regulations promulgated by the Board, prescriptions may be transmitted to a pharmacy by electronic transmission or by facsimile machine and shall be treated as valid original prescriptions B. Any prescription for a controlled substance that contains opioids shall be issued as an electronic prescription.” This information was brought to our attention in a dental meeting in Texas. Virginia is joining several other states in the fight against drug overdose. For the complete regulation visit: https://law.lis.virginia.gov/vacode/54.1-3408.02 /

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Laser Endodontics LLC - Mary Ann Choby, DMD, MS

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