Originally Posted by O.city:
Kind of a sad story
About a year ago I had a patient of ours come in with swelling above her upper left lateral incisor. Presented as a typical abscess, needs a root canal or extraction. Anterior teeth (front teeth) generally have a single nerve and single canal so the root canal is fairly easy. Shes a sweet older lady who's been in the practice for years, so I told her I'd do it here. Took some more xrays and did some testing before diving in and for some unknown reason.....it just didn't present as a normal abscess to me. The tooth tested non responsive to cold and percussion (teeth with normal pulpal response will respond to cold, the cold won't linger and it will go away once cold is removed from tooth) so I though, yep abscess.
Anyway, I just didn't feel comfortable with it, so I sent her to the Endodontist (root canal specialist). Close friend of mine in Springfield, does a great job, send alot to him. Anyway, he takes a cone beam 3d scan and does the root canal, but the lesion looked a little different to him as well so he sent her to the ORal Surgeon for a biopsy just to be safe.
Surgeon he sent her to is another close friend, he called, "it's probably just a lipoma, shouldn't be a problem to remove but we'll biopsy".
Comes back as Lymphoma. She sees oncology tomorrow.
Hate it for her, but I guess things worked out how they should in terms of us working together for the patient.
That sucks but if you just hillbillied it out of there she wouldn’t have known.
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