17 Year Recall: Hemisected Mandibular Molar

Terry Pannkuk, DDS, MScD Instructional, Fractured Roots, Endo-Perio Combined Lesions, Recall Observations

Do all hemisected molar teeth fracture and fail?
Patient: 49 year-old male (at time of treatment in 1998), noncontributory medical history at time of treatment and at the time of recall in 2015.

Chief Complaint: tooth ache localized to the mandibular right first molar (#30, 1998)

Dental History (tooth #30): The patient reported having had a crown, distal root hemisection, root canal treatment, and a post build-up in 1993.

Significant Findings (tooth #30, 1998): The patient presented with slight percussion sensitivity, severe gingival inflammation, Class 1 mobility, and deep periodontal pockets probing to the apex of the distal root at the DB and DL areas. The periapical radiograph revealed a very large periradicular radiolucency encompassing the entire mesial root and a previous post placed with no root canal filling. A cervical portion of the distal root still remained.

Sign In

Subscribe to View the Case

There are 9 images included with this case summary.


Back to All Cases

Join The Discussion

0 comments

Commenting Guidelines Please make scholarly cited references or expert opinions suitable for publication. The comments can either be "pro" or "con" with references to the treatment philosophy. We encourage objectivity and detailed demonstration of knowledge/literature.
You must log in or create a free account to post a comment.

Related Cases

UPDATE RECALL-Retreatment of Surgical Resorption Repair Instructional, Complications: Advanced Management, Resorption Management, Recall Observations
Heroic Retreatment of a Retreatment: Puzzle Case Part 2 Instructional, Complications: Advanced Management, Fractured Roots, Retreatment Strategies, Dismantling, Gutta Percha Removal, Recall Observations
Clinical Instructional: Endodontic Cleaning and Shaping and Achieving Deep Shape Instructional, Clinical Endodontic Technique Instruction, Access, Cleaning and Shaping, Obturation
How to Endodontically Treat a Tooth with a Complex Apex (Video) Instructional, Clinical Endodontic Technique Instruction, Cleaning and Shaping
Long Term Restorative Failure Instructional, Recall Observations