Thursday, November 12, 2009

Retreatment & MTA Save a Perforated Tooth

The following case was submitted by Dr. Rico D. Short of Smyrna, GA.

Original endodontic treatment was done 15 years ago. The crowns on 8 & 9 were replaced 2 years earlier at which time the dentist placed post for retention. During post preparation, the root was perforated. A large lesion has developed.


DX: Prior RCT w/ Chronic Apical Abscess w/ root perforation. Pt was informed the prognosis was questionable due to the perforation. Pt understood and consented for treatment including perforation repair.

Retreatment on #8 completed with MTA root repair.

8 month recall

22 month recall finds patient asymptomatic and functioning with no mobility and normal probing depths.

While many clinicians would have deemed this tooth "hopeless" and recommended extraction, MTA, microscopes and a expert clinician can save teeth that otherwise would be extracted.

6 comments:

DAVID UROZ said...

Excelent treatment!. Its a pleasure to see the evolution during these two years...
Did you use any reabsorbable barrier in the control of MTA extrusion?

Thank you very much for the inclusion of www.endodontico.com in your links of interest.

Dr. David Uroz

Pamela Wilson-Lipscomb said...

Great blog. You have a lot of very interesting dental information. I had considered implants for two front teeth. I was told my sinuses were too low and it might cause problems. Things may have changed, that was over twenty years ago.

teeth whitening said...

It's good to see the step by step healing process and thanks for sharing...

Prosthodontist said...

Wow! You're good. Thumbs up to you. Personally I will also recommend extraction. lol

drendo said...

hi v.good results but i like to know why the retreatment is short thanks

Dr.Sunil Kumar said...

Nice case.