Surgical Resorption Repair (Lingual Approach)

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

Using the microscope and microsurgical instrumentation is important in performing surgical repair of resorption defects

This is a clinical video taken from a microscope-mounted Canon 60D. This was a very unusual case; in that nonsurgical endodontic treatment was not performed before the surgery. The canal space looked very calcified and there was concern that nonsurgical endodontic treatment would weaken this tooth by performing both NSRCT and the lingual repair with such challenging access. Dycal was initially placed as a matrix but was removed because the hemostasis was good and it was simpler to treat without it.

Geristore is a superior resorption filling material compared to other resins like Optibond. Dragoo (1997) and Al-Sabek (2005) show superior fibroblast adhesion with Geristore. This translates to predictable junctional epithelial attachment with Geristore translating to good root coverage after the repair. Precision, meticulousness, patience, and understanding of materials and ergonomics are extremely important to the predictability of outcome. It is very difficult to account for the very important technique sensitive nuances when considering the resorpton treatment outcome literature. Using the microscope and microsurgical instrumentation is important in performing surgical repair of resorption defects.

Sign In

Subscribe to View the Case

There are 0 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

Heroic Retreatment of a Retreatment: Puzzle Case Part 2 Instructional, Complications: Advanced Management, Fractured Roots, Retreatment Strategies, Dismantling, Gutta Percha Removal, Recall Observations
The Aggressive Shoulder Crown Preparation Complications: Advanced Management, Difficult Isolation, Missed Canals
Management and Follow-Up of the Combined Perio-Endo Lesion Instructional, Complications: Advanced Management, Endo-Perio Combined Lesions, Retreatment Strategies, Dismantling, Recall Observations
Puzzle: Do you treat this malformed mandibular incisor? Complications: Advanced Management
Retreatment of a Perforated 3-Rooted Bicuspid Instructional, Complications: Advanced Management, Missed Canals, Perforations, Retreatment Strategies, Recall Observations
UPDATE RECALL-Retreatment of Surgical Resorption Repair Instructional, Complications: Advanced Management, Resorption Management, Recall Observations