"Quick" Emergency Visit to an Endodontist

Terry Pannkuk, DDS, MScD Complications: Advanced Management, Perforations

Learn how to handle emergency pain without causing further complications

Case: Patient presented with emergency pain and swelling with a previous endodontic access leading to perforation

Patient: 23-year-old female in excellent health

Chief Complaint: Pain and swelling last 5 days

Dental History: The patient reported that her dentist had recently made her a crown and she had developed pain one month later while on vacation. She had been referred to an endodontist and reported that he spent "5 minutes in the tooth" then declared that it needed to be extracted, but that he could extract it and easily replace it with an implant. When she returned to her regular dentist he said the root had been perforated. She went to get another opinion from a different dentist who took a CBCT scan and validated that the tooth had been perforated. He also said that the tooth needed to be immediately extracted with an immediate implant placement or she would lose bone and need grafting. See sought another opinion from the author to see if the tooth could be saved.

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