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	<title>Comments on: Would You Refuse to Retreat This?</title>
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	<link>http://www.endodontics.ca/2008/07/03/would-you-refuse-to-retreat-this/</link>
	<description>Can life be a walk in the clouds?</description>
	<lastBuildDate>Tue, 27 Jul 2010 21:23:50 -0400</lastBuildDate>
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		<title>By: Periapex</title>
		<link>http://www.endodontics.ca/2008/07/03/would-you-refuse-to-retreat-this/comment-page-1/#comment-2226</link>
		<dc:creator>Periapex</dc:creator>
		<pubDate>Tue, 08 Jul 2008 22:50:05 +0000</pubDate>
		<guid isPermaLink="false">http://www.endodontics.ca/2008/07/03/would-you-refuse-to-retreat-this/#comment-2226</guid>
		<description>&lt;strong&gt;desperateblogger&lt;/strong&gt;: Your daughter will know all about what I&#039;m talking about then :-) I see some similarities between architecture and dentistry though...

&lt;strong&gt;person&lt;/strong&gt;: The long-term prognosis of this tooth is guarded because of the restorative issues. I discussed this extensively at the consultation. Since I&#039;m not the restoring dentist, however, I make my concerns known verbally to the patient, and then in writing to the dentist. If they feel that they can achieve a stable restoration, I can&#039;t argue with them.</description>
		<content:encoded><![CDATA[<p><strong>desperateblogger</strong>: Your daughter will know all about what I&#8217;m talking about then <img src='http://www.endodontics.ca/wp-includes/images/smilies/icon_smile.gif' alt=':-)' class='wp-smiley' />  I see some similarities between architecture and dentistry though&#8230;</p>
<p><strong>person</strong>: The long-term prognosis of this tooth is guarded because of the restorative issues. I discussed this extensively at the consultation. Since I&#8217;m not the restoring dentist, however, I make my concerns known verbally to the patient, and then in writing to the dentist. If they feel that they can achieve a stable restoration, I can&#8217;t argue with them.</p>
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		<title>By: desperateblogger</title>
		<link>http://www.endodontics.ca/2008/07/03/would-you-refuse-to-retreat-this/comment-page-1/#comment-2139</link>
		<dc:creator>desperateblogger</dc:creator>
		<pubDate>Sat, 05 Jul 2008 04:40:17 +0000</pubDate>
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		<description>huh? didn&#039;t understand a thing! lol! i guess the dental work must have been quite s job. my parents were both dentist but i became an architect instead. i&#039;ve a daugther who&#039;s about to finish her residency in pedodontics though.

btw, i like your landscaping.

&lt;em&gt;desperateblogger&#039;s last blog post..&lt;a href=&#039;http://feeds.feedburner.com/~r/AndLifeGoesOn/~3/326679296/cap-crappola.html&#039; rel=&quot;nofollow&quot;&gt;CAP Crappola!&lt;/a&gt;&lt;/em&gt;</description>
		<content:encoded><![CDATA[<p>huh? didn&#8217;t understand a thing! lol! i guess the dental work must have been quite s job. my parents were both dentist but i became an architect instead. i&#8217;ve a daugther who&#8217;s about to finish her residency in pedodontics though.</p>
<p>btw, i like your landscaping.</p>
<p><em>desperateblogger&#8217;s last blog post..<a href='http://feeds.feedburner.com/~r/AndLifeGoesOn/~3/326679296/cap-crappola.html' rel="nofollow">CAP Crappola!</a></em></p>
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		<title>By: patriotic pregnant person</title>
		<link>http://www.endodontics.ca/2008/07/03/would-you-refuse-to-retreat-this/comment-page-1/#comment-2129</link>
		<dc:creator>patriotic pregnant person</dc:creator>
		<pubDate>Fri, 04 Jul 2008 11:49:19 +0000</pubDate>
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		<description>hmm....crown to root ratio looks questionable here, but again this is a periapical film.  is there any mobility?  how are the probing depths?

re-treatment would most def be the first endodontic option, esp because the original RCT is not ideal to begin with.  my main concern is now the patient is spending money on a retreat, post (which i would do cast at this point, esp given the further weakening of the tooth from the retreat) and crown, possible crown lengthening.  at this point, is it worth it to save the tooth versus extraction and implant?  i didn&#039;t see the tooth clinically so i don&#039;t know.  what do you think?  have you ever refused to treat a tooth if the restorable prognosis is questionable?</description>
		<content:encoded><![CDATA[<p>hmm&#8230;.crown to root ratio looks questionable here, but again this is a periapical film.  is there any mobility?  how are the probing depths?</p>
<p>re-treatment would most def be the first endodontic option, esp because the original RCT is not ideal to begin with.  my main concern is now the patient is spending money on a retreat, post (which i would do cast at this point, esp given the further weakening of the tooth from the retreat) and crown, possible crown lengthening.  at this point, is it worth it to save the tooth versus extraction and implant?  i didn&#8217;t see the tooth clinically so i don&#8217;t know.  what do you think?  have you ever refused to treat a tooth if the restorable prognosis is questionable?</p>
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