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Surgical Re-endo (by Ilya Mer)

All clinical cases Cases by Ilya Mer CT analysis Endodontics Surgical endodonticsPublished April 9, 2013 at 1:35 pm Comments Off on Surgical Re-endo (by Ilya Mer)

The initial endo treatment of the central incisor was done more 20 years before and cystectomy two years later. Patient felt discomfort in the area and sinus tract appeared from time to time. She has been suggested to change crown restorations and sent to my office for evaluation of re-endo treatment.

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Preoperative X-rays

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CBCT image showed extensive bone lesion

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Normal probing in all aspects of the tooth

initial view of bone crypt just after the flap rising

initial view of bone crypt just after the flap rising

The root tip underwent resection during  previous treatment, so the only smal shaving of 1,0mm was done and root surface refreshed

The root tip underwent resection during previous treatment, so the only smal shaving of 1,0mm was done and root surface refreshed

3,0mm of the root were preped with retrotip and filled with IRM

3,0mm of the root were preped with retrotip and filled with IRM

sutures

sutures

sutured remove at the fifth day

sutured remove at the fifth day

Preop and postop X-rays

Preop and postop X-rays

 

 

 

 

 

 

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