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

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

Retreatment of a Perforated 3-Rooted Bicuspid Instructional, Complications: Advanced Management, Missed Canals, Perforations, Retreatment Strategies, Recall Observations
Dens Invaginatus Treatment with an Immature Root Recall Observations, Regeneration / Revascularization
Puzzle: Do you treat this malformed mandibular incisor? Complications: Advanced Management
Recall (5 Years): Radix Entomolaris Instructional, Cleaning and Shaping, Complications: Advanced Management, Recall Observations
Bioceramic Retreatment of Long-Term Endodontic Failure Retreatment Strategies, Dismantling
Recall (22 Years) CBCT Exam Recall Observations