UPDATE-2 Year Recall: Surgically Inaccessible Internal Repair of External Resorption - Case Studies

UPDATE: 2 1/2 year Recall Examination

Learn how to determine whether a resorbed root is treatable

Patient: 77 year old male with history of chronic pneumonia, asthma, and controlled hypertension

Chief Complaint: Bump on gums with drainage

Dental History: The patient was referred by his dentist to evaluate a draining fistula on the lingual of tooth #18. There had been no recent dentistry performed and the mandibular left second molar had been restored with a pin build-up and a full gold crown.

**Significant Findings : Tooth #18 failed to respond to cold thermal stimulation; slight percussion sensitivity, draining sinus on the lingual attached gingiva opposite #18, 6mm periodontal pockets were noted at the lingual, mesiolingual, and distal probing areas which bled upon probing (A CBCT scan revealed a midroot crater resorption defect on the lingual aspect of the mesial root after the initial access appointment and placement of calcium hydroxide, patient declined CBCT scan during the initial consultation).

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Commenting Guidelines Please make scholarly cited references or expert opinions suitable for publication. The comments can either be "pro" or "con" with references to the treatment philosophy. We encourage objectivity and detailed demonstration of knowledge/literature.

Oliver Pontius commented 7 years ago.

beautiful documentation and handling of this challenging case

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