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Missed canal as a second opinion (by Ilya Mer)

All clinical cases Cases by Ilya Mer Endodontics Follow up PAL Retreatment Unusual anatomyPublished October 7, 2014 at 5:47 am Comments Off on Missed canal as a second opinion (by Ilya Mer)

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Patient came to get a second opinion  about treatment plan of first mandibular molar. He had consulted with 2 dental surgeons (!)  and was suggested apicoectomy or GUESS?  Right – extraction and implant!

The cause of inflammation looked very obvious - missed DB canal.

The cause of inflammation looked very obvious – missed DB canal.

NSReTx was suggested as an treatment option and extraction as an alternative. Missed canal was immediately seen after access to pulp chumber

NSReTx was suggested as an treatment option and extraction as an alternative. Missed canal was immediately seen after access to pulp chumber

Two visit endo with calcium hydroxide dressing for 2 weeks was done. Final obturation X-ray. 12 month recall  is a next visit.

Two visit endo with calcium hydroxide dressing for 2 weeks was done. Final obturation X-ray. 12 month recall is a next visit.

Pulp chamber view

Pulp chamber view

6 month follow up

6 month follow up, healing of periapical area

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