Recall (20 Year): Cleared Tooth Bridge Abutment Deconstruction (cleared root sections courtesy of Dr. Craig Barrington)

Terry Pannkuk, DDS, MScD Recall Observations, Endo Implantology

Learn the long term result of overloading a bridge abutment

Patient: 69 year old female with mild hypertension

Chief Complaint: Bridge fell off with maxillary 2nd molar distal abutment fractured (1993). Bridge fell off again (2013)

Dental History: Orthognathic surgery performed over 20 years earlier after a traumatic accident. The maxillary right first molar had been extracted with a three unit bridge made using the maxillary 2nd molar (#2) and maxillary 2nd bicuspid (#4) as abutments. The bridge had fallen off due to gross caries and a crown fracture (#2).

Significant Clinical Findings (1993): Caries exposure of the pulp, sharp/transient response to cold stimulation, slight to moderate percussion sensitivity, and normal periodontal findings (#2)

Diagnosis (1993): Irreversibly Inflamed Pulp with Acute Periradicular Periodontitis

Prognosis (1993): Guarded to Fair due to unfavorable remaining tooth structure

Sign In

Subscribe to View the Case

There are 21 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

UPDATE RECALL-Retreatment of Surgical Resorption Repair Instructional, Complications: Advanced Management, Resorption Management, Recall Observations
20 year Recall of a Molar Tooth Having a Crown-Root Fracture Complications: Advanced Management, Fractured Roots, Recall Observations
Heroic Retreatment of a Retreatment: Puzzle Case Part 2 Instructional, Complications: Advanced Management, Fractured Roots, Retreatment Strategies, Dismantling, Gutta Percha Removal, Recall Observations
Delayed Restoration of an Endodontically Treated Tooth Instructional, Difficult Isolation, Recall Observations
Part 1 and Part 2 UPDATE, Emergency Trauma Puzzle: How would you treat it? Instructional, Trauma Management, Recall Observations
Long Term Restorative Failure Instructional, Recall Observations