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Treatment failure

All clinical cases Cases by Ilya Mer Retreatment Surgical endodonticsPublished May 27, 2014 at 5:05 am Comments Off on Treatment failure

You can be a very experienced clinician you read tons of literature and use relevant protocols but never have 100% success treating apical periodontitis. This case was  NSRTx retreatment of first upper molar after Resorcinol Formaldehyde technique with CAP on buccal roots.

Pre-, intra-, and postoperative X-rays of NSRTx

Pre-, intra-, and postoperative X-rays of NSRTx September 2013

postoperative view of pilp chamber

postoperative view of pilp chamber

Pain and swelling in May 2014. Patient took antibiotics for 5 days which helped just partially.

Pain and swelling in May 2014. Patient took antibiotics for 5 days which helped just partially.

both buccal roots were surgerized

both buccal roots were surgerized

The only reason of failure I could find was black spot on MB root on the very tip of the root. After  shaving one more millimeter I saw only GP.

The only reason of failure I could find was black spot on MB root on the very tip of the root. After shaving one more millimeter I saw only GP.

Final view of obturation with BC putty

Final view of obturation with BC putty

 

 

 

 

 

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