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No changes 2,5 years after NSRtx (by Ilya Mer)

All clinical cases Cases by Ilya Mer Endodontics failure missed MB2 Retreatment Surgical endodonticsPublished October 30, 2015 at 5:45 am Comments Off on No changes 2,5 years after NSRtx (by Ilya Mer)
This patient has been referred 2 at June 2013 for retreatment of 2.7 before ortho tx. Huge PAL in buccal roots projection but there were not any symptoms

This patient has been referred 2 at June 2013 for retreatment of 2.7 before ortho tx. Huge PAL in buccal roots projection but there were not any symptoms.

Old restoration removed and new build up set.

Old restoration removed and new build up set.

Ready for canal work

Ready for canal work

Disinfection procedures were completed in two visits.  Missed MB2 has had a  separated apical foramina. Overfill of AH+ in MB2

Disinfection procedures were completed in two visits. Missed MB2 has had a separated apical foramina. Overfill of AH+ in MB2

Two and a half years later patient completed ortho Tx and came for follow up with a new CBCT. The same picture of PAL was seen - no changes at all and no symptoms btw.

Two and a half years later patient completed ortho Tx and came for follow up with a new CBCT. The same picture of PAL was seen – no changes at all and no symptoms btw.

In case that NSTx is ineffective (just elegant way not to call it a failure)) surgical approach is the the best option. Retroprep and filling with MTA. The causative root was MB but DB was done too.

In case that NSTx is ineffective (just elegant way not to call it a failure)) surgical approach is the the best option. Retroprep and filling with MTA. The causative root was MB but DB was done too. Now see him two years later.

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