Retreatment of the Apical Third and Exploration for Fracture

Terry Pannkuk, DDS, MScD Instructional, Cleaning and Shaping, Fractured Roots

Retreatment of previously ledged and blocked root canal systems can be challenging with unpredictable results.

Case: Patient presented for endodontic retreatment with a suspected root fracture

Patient: 68 year old female with controlled hypertension and penicillin allergy

Chief Complaint: localized biting sensitivity mandibular left first molar

Dental History: The previous root canal treatment had been performed at least 2 decades prior to the consultation. A throbbing dull ache had started 3 days prior to the patient’s appointment, which was exacerbated by biting.

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1 comment

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.
Michael G Stevens commented 7 years ago.

Terry, thanks for your insight into the realities of the world of retreatment! Often times it is not what we do but what we say to the patient that enhances our profession.

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