Multiple Long Term Endodontic Recall Exams: Cracked Teeth

Terry Pannkuk, DDS, MScD Instructional, Complications: Advanced Management, Fractured Roots, Recall Observations

Do endodontically treated cracked teeth last?

Patient: 83 year-old male with hypothyroidism, Type 2 diabetes, and controlled hypertension (2015) , was age 57 in a noncontributory medical history when first treated in 1988.

Chief Complaint: Biting sensitivity (1988)

Dental History: When the patient first presented to the author in 1988 his dentist had prepared the maxillary left first molar for a crown, noted a crown fracture, and a near exposure of the mesiobuccal pulp horn. The patient had been reporting biting sensitivity for the previous 6 months in the maxillary left posterior area. The patient was referred for an endodontic consultation before finishing the restorative work in the sextant.

The patient returned 5 years later (1993) for examination of the maxillary right first molar reporting hot and cold sensitivity before and after crown preparation by his dentist. A dentinal crack was noted during preparation and the patient was referred to the author when symptoms did not resolve.

Sign In

Subscribe to View the Case

There are 15 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

Hidden Missed Canal Diagnosis, Access, Cleaning and Shaping, Complications: Advanced Management, Missed Canals, Retreatment Strategies
Heroic Retreatment of a Retreatment: Puzzle Case Part 2 Instructional, Complications: Advanced Management, Fractured Roots, Retreatment Strategies, Dismantling, Gutta Percha Removal, Recall Observations
Retreatment of a Maxillary Premolar with 3 Roots Complications: Advanced Management, Missed Canals
20 year Recall of a Molar Tooth Having a Crown-Root Fracture Complications: Advanced Management, Fractured Roots, Recall Observations