The first xray is a duplicate which accounts for the poor quality. The case was referred to me by the patient’s new dentist. When I saw the patient, a parulis existed in the buccal furcation area. Apparently the endo was done in the 80′s and retreated by the previous dentist 1-2 years ago. That was when obturation material was pushed out the apex and the carbon fibre posts were placed and the bridge with the open distal margin was glued on.

I’m posting this case to show that extruded gutta-percha generally doesn’t cause problems.

The canals were cleared and medicated with calcium hydroxide paste for 6 weeks. The parulis disappeared. I obturated the canals.

Carbon fibre posts are a real pain to get out because I have to pretty much drill or ultrasonically destroy them to get them out; unlike metal posts which I can usually get out in one piece.

The extruded material had no impact on healing. The open margin on the distal will have an affect on healing if it isn’t addressed.