Gross Perforation Repair of Molar: 10 year Recall Exam

Terry Pannkuk, DDS, MScD Complications: Advanced Management, Perforations, Retreatment Strategies, Dismantling, Gutta Percha Removal, Recall Observations

Repair of gross perforation defects can result in long-term successful treatment

Patient: 23 year old female in excellent health

Chief Complaint: ”tooth feels swollen”

Dental History: The patient reported having had the previous root canal treatment, build-up, and crown performed by her previous dentist in Salt Lake City, Utah, 6 years prior (1994)

Significant Findings: The patient presented with severe percussion sensitivity, fluctuant swelling, Class 1 mobility, a 4mm sulcular mesiolingual defect which bled upon probing, and the following radiographic observations associated with the mandibular left first molar (tooth #19):

  1. Previous root filling with weak apical radiodensity and filled short of the radiographic terminus.
  2. Missed canals were suspected in each root.
  3. Three previous posts were placed in each root and suspected to be perforating the furcation.
  4. The periapical radiolucency was noted circumscribing the mesial root measuring 5.5mm in greatest
    diameter and a periapical radiolucency circumscribing the distal root measuring 3.5mm in greatest diameter.
  5. A large radiolucency involving the furcation.

Sign In

Subscribe to View the Case

There are 14 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

My First 30 Year Recalled Molar (failed twice) Complications: Advanced Management, Missed Canals, Recall Observations
Delayed Restoration of an Endodontically Treated Tooth Instructional, Difficult Isolation, Recall Observations
Bioceramic Retreatment of Long-Term Endodontic Failure Retreatment Strategies, Dismantling
UPDATE RECALL-Retreatment of Surgical Resorption Repair Instructional, Complications: Advanced Management, Resorption Management, Recall Observations
Puzzle: Do you treat this malformed mandibular incisor? Complications: Advanced Management
Long Term Restorative Failure Instructional, Recall Observations