"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.

Sign In

Subscribe to View the Case

There are 4 images included with this case summary.

Back to All Cases

Join The Discussion


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
Management and Follow-Up of the Combined Perio-Endo Lesion Instructional, Complications: Advanced Management, Endo-Perio Combined Lesions, Retreatment Strategies, Dismantling, Recall Observations
Discovery of a Second Palatal Canal in a Maxillary Second Molar Post-endodontic Restoration, Complications: Advanced Management, Difficult Isolation
Puzzle: Do you treat this malformed mandibular incisor? Complications: Advanced Management
Hidden Missed Canal Diagnosis, Access, Cleaning and Shaping, Complications: Advanced Management, Missed Canals, Retreatment Strategies
My First 30 Year Recalled Molar (failed twice) Complications: Advanced Management, Missed Canals, Recall Observations