Recall Series (6 Years): Endodontic Surgery after Failed Internal Perforation Repair

Terry Pannkuk, DDS, MScD Complications: Advanced Management, Perforations, Surgical Retreatment, Surgical Exploration, Retreatment Strategies, Recall Observations

Post perforations can be successfully repaired

Patient: 62-year-old female in excellent health

Chief Complaint: Asymptomatic (referred by general dentist to examine all teeth before a full mouth reconstruction)

Dental History: The patient had multiple paste-filled root canals performed in Eastern Europe as a child and young adult. The patient was referred by her general dentist to examine all teeth before beginning a full mouth reconstruction. After and extensive period of provisionalization and root canal retreatment of other teeth, the maxillary right lateral incisor (#7) was noted to develop a periapical radiolucency of increased size. The pulp chamber had been open to the oral environment for an unknown number of years. An implant had recently been placed in the #6 site and there was a concern about infection

Sign In

Subscribe to View the Case

There are 14 images included with this case summary.


Back to All Cases

Join The Discussion

0 comments

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.
You must log in or create a free account to post a comment.

Related Cases

Management and Follow-Up of the Combined Perio-Endo Lesion Instructional, Complications: Advanced Management, Endo-Perio Combined Lesions, Retreatment Strategies, Dismantling, Recall Observations
Retreatment of a Maxillary Premolar with 3 Roots Complications: Advanced Management, Missed Canals
The Aggressive Shoulder Crown Preparation Complications: Advanced Management, Difficult Isolation, Missed Canals
An Extremely Challenging Root Anomaly: Radix Entomolaris Instructional, Clinical Endodontic Technique Instruction, Diagnosis, Complications: Advanced Management
Puzzle: Do you treat this malformed mandibular incisor? Complications: Advanced Management