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It can be a phoenix abscess as well which is an acute exacerbation. But this generally happens generally within 24hrs. Also due to vigorous instrumentation the debris is pushed into the periapical area causing the flare up. Rx- apply ledermix for few days and then repeat. Bw,Risha From: Kanika Kohli <kanika_sahil@...> To:

" " < > Sent: Thursday, March 22, 2012 10:23 AM Subject: Omsg questions

A 25 year old patient attends for obturation of an upper incisior on which you have completed rct 1 week earlier.Although he is keen to complete the treatment,he reports this previously symptom free tooth had become exceedingly painful as soon la worn off.The symptoms lasted for 3 days but were controlled using codeine based analgesics.Now symptoms have been resolved but he still has a feeling that something is nt right?ans is acute apical periodontitisIs it because of over instrumentation or toxins from necrotic pulp or you want to add anything else.Which cement has greater wear resistance?I read some where its compomers and resin cement like panavia...is it so?

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HI KANIKA1.YES FOR THE CASE ITS EXACTLY AS U SAID2. ADHESIVE RESIN CEMENT > COMPOMER BEST OF LUCKEBTISAM From: Kanika Kohli <kanika_sahil@...> " " < > Sent: Thursday, 22 March 2012, 10:23 Subject: Omsg questions

A 25 year old patient attends for obturation of an upper incisior on which you have completed rct 1 week earlier.Although he is keen to complete the treatment,he reports this previously symptom free tooth had become exceedingly painful as soon la worn off.The symptoms lasted for 3 days but were controlled using codeine based analgesics.Now symptoms have been resolved but he still has a feeling that something is nt right?ans is acute apical periodontitisIs it because of over instrumentation or toxins from necrotic pulp or you want to add anything else.Which cement has greater wear resistance?I read some where its compomers and resin cement like panavia...is it so?

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Hi ebtessamWhat about the wear resistance of amalgam bonded one?And no doubt vicryl is used widely but according to pink book its 3-0 black silk suture which is used for biopsy. From: ebtessam elhamalawy <ebtessamhamalawy@...> " " < > Sent:

Thursday, 22 March 2012 10:47 AM Subject: Re: Omsg questions

HI KANIKA1.YES FOR THE CASE ITS EXACTLY AS U SAID2. ADHESIVE RESIN CEMENT > COMPOMER BEST OF LUCKEBTISAM From: Kanika Kohli <kanika_sahil@...> " " < > Sent: Thursday, 22 March 2012,

10:23 Subject: Omsg questions

A 25 year old patient attends for obturation of an upper incisior on which you have completed rct 1 week earlier.Although he is keen to complete the treatment,he reports this previously symptom free tooth had become exceedingly painful as soon la worn off.The symptoms lasted for 3 days but were controlled using codeine based analgesics.Now symptoms have been resolved but he still has a feeling that something is nt right?ans is acute apical periodontitisIs it because of over instrumentation or toxins from necrotic pulp or you want to add anything else.Which cement has greater wear resistance?I read some where its compomers and resin cement like panavia...is it so?

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hi kanikaYou mean the cermet cement I believe they have a higher strenght and wear resistance that`s why they are used as a core build up material, but according to a stusy published in the BDJ THEY concluded that:Compared to conventional glass ionomers, the tested

material exhibited no improved clinical performance and lifetime expectancy for Class II restorations in deciduous teeth.Primarily in uncooperative children this group of restorative materials exhibits advantageous handling properties.silver containing composite I believe it has a higher wear resistance than comoper and is used as a core materialANOTHER STUDY COMPARING COMPOMER WITH GI:The conclusions to be drawn from this study are that when compomer and glass ionomer cement restorations are placed in adhesively designed occlusal and approximal cavities in primary molars, the compomer is superior in terms of anatomic form, marginal integrity, cavosurface discolouration, recurrent caries, maintenance of interproximal contact, surface texture, and overall failure. There was no reported postoperative sensitivity with either material.http://www.nature.com/bdj/journal/v189/n2/full/4800693a.htmlfor the intaoral we could us either silk 3 o or vicrylbut the last have the advantage of being resorbablewhat do u think?????best regardsebtisam From: Kanika Kohli <kanika_sahil@...> " " < > Sent: Thursday, 22 March 2012, 16:22 Subject: Re: Omsg questions

Hi ebtessamWhat about the wear resistance of amalgam bonded one?And no doubt vicryl is used widely but according to pink book its 3-0 black silk suture which is used for biopsy. From: ebtessam elhamalawy <ebtessamhamalawy@...> " " < > Sent:

Thursday, 22 March 2012 10:47 AM Subject: Re: Omsg questions

HI KANIKA1.YES FOR THE CASE ITS EXACTLY AS U SAID2. ADHESIVE RESIN CEMENT > COMPOMER BEST OF LUCKEBTISAM From: Kanika Kohli <kanika_sahil@...> " " < > Sent: Thursday, 22 March 2012,

10:23 Subject: Omsg questions

A 25 year old patient attends for obturation of an upper incisior on which you have completed rct 1 week earlier.Although he is keen to complete the treatment,he reports this previously symptom free tooth had become exceedingly painful as soon la worn off.The symptoms lasted for 3 days but were controlled using codeine based analgesics.Now symptoms have been resolved but he still has a feeling that something is nt right?ans is acute apical periodontitisIs it because of over instrumentation or toxins from necrotic pulp or you want to add anything else.Which cement has greater wear resistance?I read some where its compomers and resin cement like panavia...is it so?

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