Five Year Follow-Up of Heroic Anterior Tooth Save:UPDATE

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Terry Pannkuk, DDS, MScD – Complications: Advanced Management, Fractured Roots, Surgical Retreatment, Retreatment Strategies, Dismantling, Gutta Percha Removal, Recall Observations

UPDATE: Recurrent Endodontic Disease After Initial Healing, 4 years later

Patient: 52 year-old (2014) male in excellent health

Chief Complaint: Patient reported a bump on the gums above his front upper tooth

Dental History: Patient reported a history of prior orthodontics as a child and previous endodontic treatment performed on the maxillary left and right central incisors in 1970 (teeth #’s 8 and 9). Surgical endodontic treatment had been performed years ago after a recurrent infection associated with the maxillary left central incisor (tooth #9)

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3 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.

Martin Damyanov commented 4 years ago.

Dear Terry, what do you think would have been the outcome for tooth #9 if (hypothetically) a surgical approach was rendered in the beginning vs the non-surgical one?

Martin Damyanov commented 4 years ago.

Dear Terry, what do you think would have been the outcome for tooth #9 if (hypothetically) a surgical approach was rendered in the beginning vs the non-surgical one?

Terrell Pannkuk commented 4 years ago.

Hi Martin, Without internal debridement the treatment would likely fail later. The goal is a definitive successful result that eliminates disease, restores the tooth to function, and provides acceptable esthetics (in that order of importance, although that may argued by some).

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