Jul 1, 2020
Proper treatment of a gross perforation with a bioactive material can lead to remarkable healing.
Treatment Plan: Nonsurgical Endodontic Therapy and internal perforation repair (#26)
Special Considerations of Performed Treatment:
The first important consideration was elimination of pain which required palliative treatment (Ibuprofen and Acetaminophen), pulp extirpation, and management of the inflamed periradicular perforation site.
Nov 4, 2019
Long-term recall of internal perforation repair with amalgam
Patient: 38 year-old male in excellent health (1994)
Chief Complaint: Severe tooth ache
Dental History: The patient presented to the author in 1994 having had previous endodontic therapy on the maxillary right first molar (tooth #3) in 1990. Severe tooth pain had developed localized to the tooth 1 ½ weeks prior to the author examining the patient at which time the patient’s dentist had attempted endodontic retreatment. The attempted nonsurgical endodontic retreatment procedure failed to relieve the patient’s pain and the general dentist had performed an emergency surgical flap procedure. Antibiotics and narcotic analgesics had been prescribed and the patient was referred for endodontic consultation (1994)
Sep 9, 2019
What is your diagnosis, prognosis and treatment plan?
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