Specialist Questions

Category: Medicaldental Inter Relationship

Should there be a concern for patients who are to undergo a MRI scan and who have a separated file near the apex embedded in gutta percha? Assume the file is magnetically attracted.

By Dr. Barry H. Korzen | Posted February 5, 2015

As careful as we are, instrument separation occurs and the consequences have to be dealt with. When the instrument fragment cannot be removed we have both a legal and moral obligation to inform the patient. Not only for the impact this may have on the prognosis of the endodontic treatment, but also on any other medical implications that might surface in the future.

Is there a proven link between chronic apical periodontitis and coronary artery disease?

By Dr. Barry H. Korzen | Posted February 11, 2014

It is not an unusual sceanario for a patient who is asymptomatic to associate the lack of pain with the lack of a problem. Costa et al found that patients with chronic apical periodontitis had a 2.79 times higher risk of developing coronary artery disease.