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GRANULOTEC

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<strong>GRANULOTEC</strong><br />

Efficient treatment of<br />

the infected tooth<br />

with Granuloma


16 infected silver cones<br />

on 06/10/1992<br />

16 treatment with<br />

Granulotec on 22/10/1992<br />

16 on 12/12/1994


36 infected, treatment with<br />

Granulotec on 15/10/1992<br />

36 on 17/07/1998


36 infected on<br />

10/06/1993<br />

36 treatment with<br />

Granulotec on<br />

25/06/1993<br />

36 on 08/11/1994


16 infected, treatment<br />

with Granulotec on<br />

24/02/1994<br />

16 on 22/09/1999


46 infected , treatment<br />

with Granulotec on<br />

02/12/1996<br />

46 on 17/11/1998


14 infected, treatment<br />

with Granulotec<br />

on 08/01/1997<br />

14 on 21/02/1998


36 infected, treatment with<br />

Granulotec on<br />

19/02/1998<br />

36 on 18/07/1998


36 infected (abscess)<br />

on 26/10/2005<br />

36 on 08/11/2005<br />

36 obturation with<br />

Granulotec on 28/12/2005<br />

36 healing<br />

on 27/10/2006


16 infections declared on 26/06/2007 treated with Granulotec on<br />

19/07/2007. Complete healing on 25/03/2009.


15 infected<br />

on 12/10/2007<br />

15 treatment with<br />

Granulotec on<br />

12/10/2007<br />

15 on 10/04/2008


17 infected and treated by pulpectomy with<br />

Granulotec on 30/10/2007 with x-ray<br />

controls on 02/09/2008


11 infected on 30/11/2007<br />

pulpectomy with Granulotec on<br />

the same day; x-ray on<br />

08/01/2008<br />

11 on 21/10/2008


17 infected treated by pulpectomy with<br />

Granulotec on 29/01/2008 with x-rays<br />

controls on 21/03/2008 and 29/09/2008


14 infected treated by pulpectomy with Granulotec<br />

on 22/01/2008 with x-ray control on 20/05/2008


45 infected and treated by pulpectomy with<br />

Granulotec on 31/01/2008 with x-ray control<br />

on 08/04/2008


13 infected and treated by pulpectomy with<br />

Granulotec on 15/01/2008 with x-ray control<br />

on 12/02/2008


Fortuitous discovery of sources of<br />

infection on 17/01/ 2008 under 26<br />

and 27 : on the same day<br />

treatment of 26 with condensed<br />

Gutta and of 27 with Granulotec<br />

One year later, consultation on<br />

26/ 03/2009 for pain and fistula<br />

under 26 (no pain under 27).<br />

Conclusion : failure of treatment of<br />

26 ; however, 27 non-symptomatic


15 infected treated by pulpectomy with<br />

Granulotec in 2006 with x-ray controls on<br />

25/02/2008 and 15/09/2008


36 infected treated by pulpectomy with<br />

Granulotec on 20/02/2008 with x-ray<br />

controls on 27/02/2008 and 08/09/2008


21 infected and treated by pulpectomy with<br />

Granulotec on 04/02/2008 with x-ray control<br />

on 03/10/2008


11 et 12 infected and treated by pulpectomy<br />

with Granulotec on 29/04/2008 with x-ray<br />

control on 30/09/2008


16 infected and treated by pulpectomy with<br />

Granulotec on 25/04/2008 with x-ray control<br />

on 03/09/2008


46 infected and treated by pulpectomy with<br />

Granulotec on 25/06/2008 with x-ray<br />

controls on 03/09/2008


31-41 mobile and<br />

infected (abscess)<br />

on 01/08/2008<br />

41 obturation with<br />

Granulotec on<br />

29/08 /2008<br />

31-41 on 16/06/2009<br />

31 obturation with<br />

Granulotec on 06/09/2008<br />

43-42-41-31-32-33 filled<br />

on 31/10/2008


Discovered sources of infection<br />

on 05/12/2008 under 21 (mobile,<br />

old apical resection) and 22<br />

(fistula V): root-canal filling on the<br />

same day of 22 with Granulotec<br />

21-22 x-ray control<br />

on 06/06/2009


25 vestibular abscess.<br />

Fortuitous discovery of an apical lateral lesion on a correctly<br />

obturated tooth.<br />

Treatment with Granulotec on 15/06/2010.<br />

X-Ray control on 19/10/2010.


25 open until the apex, suppuration.<br />

Obturation Granulotec at ½ root on 23/09/2010.<br />

25 on 05/11/2010, asymptomatic tooth.


46, obturation with Granulotec on 29/09/2010<br />

Control on 10/11/2010


46 mesial root :<br />

Apical lesion, “poor” obturation.<br />

Tough (partial) desobturation of the vestibular and lingual canals.<br />

02/07/2010 obturation with Granulotec.<br />

22/10/2010 control X-Ray


46 infected and treated by<br />

pulpectomy with Granulotec<br />

on 19/03/2008<br />

« Accidental » protrusion of<br />

Granulotec beyond the apex<br />

during treatment.<br />

46 x-ray controls<br />

on 25/10/2008<br />

Healing of the granuloma, recovery<br />

of the periapical and interradicular<br />

tissues, resorption of the<br />

protruded material.

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