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Dentistry/i need help to treat diagnose and treat post rct pain

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Question
dear colleague :
33 old female patient came to my clinic complaining of toothache  (upper right premolar ). after examination  i decided to perform root canal treatment . after obturation , i filled the tooth with composite filling . after 4 days the patient came back complaining of moderate pain from the tooth . priapical view x.ray was don and no abnormality detected . i removed the composite filling and the guttapercha . after examination the pain  was revealed when probing the lingual wall of the pulp chamber ,that is seemed to be reddish in color unlike what i have seen in other access cavity . so i have assumed that i removed to much from the pulp chamber (perforation). what should i do .

Answer
The tooth is first or second PREMOLAR ?
First premolars usually have 2 canals.
if it is only perforation use MTA to fill the perforation, and fill the canal after there is no symptoms.
If you can, send me a picture of the tooth and the xray

Luis Granados

Dentistry

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Luis Granados DDS MS ESP.

Expertise

Any question related to Periodontal disease (Gums), Dental implants, Prothesis over dental implants, bone regeneration, and guided tissue regeneration

Experience

Since 2002 in Periodontal surgery , dental implants and prosthetics

Organizations
Spanish Society of Periodontics SEPA, American Academy of Periodontology AAP, American Academy of Implant Dentistry AAID, Peruvian Association of Periodontics and Oseointegration APPO, Peruvian Society od Dental and Maxilofacial Prothesis, International Association of Dental Research IADR,

Publications
Relationship between plasmatic progesterone and leukotirnes B4, Effect of centrifugal force over platelet concentration, Levels of PGE2 on partial removable prothesis abutment teeth, Bone regeneration with alloografts and xenografts on rat calvaria, continue ...

Education/Credentials
License in dentistry Spain, Doctor in Dental Surgery, Master in Periodontics, Specialist in Periodontics and Implant Dentistry

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