Puzzling Long Term Recall: Maxillary Molar with Soft Tissue Ulcers, Parts 1 and 2 UPDATED

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Terry Pannkuk, DDS, MScD – Recall Observations

Part 1:

Question: Why did the palate ulcers form 22 years after root canal treatment?

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2 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.

Shoaib Siddiqui commented 9 years ago.

I understand that a cord left in the sulcus can lead to gingivitis. But what is the reason for the soreness or ulcer presentation ? How does a gingival cord cause ulcers ? Thank you for sharing the case. This is a great learning opportunity for people like me who are always hunting for more information.

Terrell Pannkuk commented 9 years ago.

A foreign body left in the sulcus and further impacted by the placement of a temporary and temporary cement seemed to create severe inflammatory reaction with circumferential destruction of the adjacent gingiva.

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