An Example of Imperfection.
Retreatment, Surgery September 9th, 2008
Everyone likes to show off their best work, but when can you remember being at a continuing education presentation and the presenter shows off work that they have produced that is less than ideal?
Here is a case that was fraught with issues from the beginning:
- Pre-op film, root canal redo needed. Note canal at apex is not centered in root, probable apical transportation during initial root canal.
- Redo finished. Lesion at tip of root has increased in the 4 months between consultation and treatment.
- One year later, lesion has gotten a lot bigger. Not good.
- Apical root resection surgery done. I had to bevel the root-end more than I liked because of restricted access from a tight lower lip.
- One view of the resected root end.
- Another view. You can see the gutta-percha where the canal exits the root.
The patient will be on a recall schedule with me for the next year or two while I keep tabs on healing within the jaw bone. Hopefully the problem of chronic infection from this tooth is solved. Options are very limited now if the infection persists.
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http://fragileheart.com/journal/ fragileheart
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http://fragileheart.com/journal/ fragileheart
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http://WaxUpWaxOff Sheila S.
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http://www.looking-down.blogspot.com/ LD





