Long Term Failure with Interesting Initial Healing of a Lesion

Terry Pannkuk, DDS, MScD Instructional, Recall Observations

Can successful treatment of a lesion of endodontic origin fail again at a later date?

Case: Patient presented for several recall exams over the course of a decade eventually developing a recurrent abscess after initial osseous regeneration

Patient: 46 year-old male with hypothyroidism (controlled)

Chief Complaint:
Asymptomatic (1999, 2000, 2003)
Pain and Swelling (2011)
Asymptomatic (2012)

Dental History: The author retreated a previous failing root canal system (#30) 11 years prior to the recall examination at which time the crown was planned for replacement and a chronic lesion was noted on a tooth previously obturated with carrier obturators. A recall examination in 2003 demonstrated resolution of the periapical radiolucency and no signs of endodontic disease. The patient returned in 2011 with pain and swelling associated with the tooth. Endodontic retreatment was performed again and complete resolution of endodontic disease was again noted one year later (2012)

Sign In

Subscribe to View the Case

There are 10 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

Part 1 and Part 2 UPDATE, Emergency Trauma Puzzle: How would you treat it? Instructional, Trauma Management, Recall Observations
My First 30 Year Recalled Molar (failed twice) Complications: Advanced Management, Missed Canals, Recall Observations
Delayed Restoration of an Endodontically Treated Tooth Instructional, Difficult Isolation, Recall Observations
Management and Follow-Up of the Combined Perio-Endo Lesion Instructional, Complications: Advanced Management, Endo-Perio Combined Lesions, Retreatment Strategies, Dismantling, Recall Observations
Complex Anatomy-Fused DB-P and MB-P Roots Instructional, Cleaning and Shaping, Obturation
20 year Recall of a Molar Tooth Having a Crown-Root Fracture Complications: Advanced Management, Fractured Roots, Recall Observations