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Emergency Pain Associated with Tooth Treated with Endodontics Many Years Ago

Terry Pannkuk, DDS, MScDComplications: Advanced Management, Perforations, Dismantling, Endo Implantology, All by Date


Microphoto showing palatal caries, an oblique root fracture, and a perforation buccal to the true canal system (a poor prognosis was assessed and extraction advised)

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This case demonstrates a detailed approach to post removal and perforation repair

Case: Patient presenting with previous endodontic treatment and post placement that had resulted in a root perforation

Patient: 43-year-old male in excellent health

Chief Complaint: pain and swelling

Dental History: Root canal treatment had been performed on the maxillary left first molar (#14) many years ago. Pain and swelling became associated with the tooth 5 days before the examination.

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