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Recall Series (6 Years): Endodontic Surgery after Failed Internal Perforation Repair

Terry Pannkuk, DDS, MScDComplications: Advanced Management, Perforations, Surgical Retreatment, Surgical Exploration, Retreatment Strategies, Recall Observations, All by Date


Apical resection showing two root bevel planes required to reverse prepare and fill both the true canal and false path portals of exit (POE)

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Post perforations can be successfully repaired

Patient: 62-year-old female in excellent health

Chief Complaint: Asymptomatic (referred by general dentist to examine all teeth before a full mouth reconstruction)

Dental History: The patient had multiple paste-filled root canals performed in Eastern Europe as a child and young adult. The patient was referred by her general dentist to examine all teeth before beginning a full mouth reconstruction. After and extensive period of provisionalization and root canal retreatment of other teeth, the maxillary right lateral incisor (#7) was noted to develop a periapical radiolucency of increased size. The pulp chamber had been open to the oral environment for an unknown number of years. An implant had recently been placed in the #6 site and there was a concern about infection

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