Five Year Follow-Up of Heroic Anterior Tooth Save:UPDATE

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

UPDATE: Recurrent Endodontic Disease After Initial Healing, 4 years later

Patient: 52 year-old (2014) male in excellent health

Chief Complaint: Patient reported a bump on the gums above his front upper tooth

Dental History: Patient reported a history of prior orthodontics as a child and previous endodontic treatment performed on the maxillary left and right central incisors in 1970 (teeth #’s 8 and 9). Surgical endodontic treatment had been performed years ago after a recurrent infection associated with the maxillary left central incisor (tooth #9)

Sign In

Subscribe to View the Case

There are 48 images included with this case summary.


Back to All Cases

Join The Discussion

3 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.
Martin Damyanov commented 3 years ago.

Dear Terry, what do you think would have been the outcome for tooth #9 if (hypothetically) a surgical approach was rendered in the beginning vs the non-surgical one?

Martin Damyanov commented 3 years ago.

Dear Terry, what do you think would have been the outcome for tooth #9 if (hypothetically) a surgical approach was rendered in the beginning vs the non-surgical one?

Terrell Pannkuk commented 3 years ago.

Hi Martin, Without internal debridement the treatment would likely fail later. The goal is a definitive successful result that eliminates disease, restores the tooth to function, and provides acceptable esthetics (in that order of importance, although that may argued by some).

You must log in or create a free account to post a comment.

Related Cases

Heroic Retreatment of a Retreatment: Puzzle Case Part 2 Instructional, Complications: Advanced Management, Fractured Roots, Retreatment Strategies, Dismantling, Gutta Percha Removal, Recall Observations
My First 30 Year Recalled Molar (failed twice) Complications: Advanced Management, Missed Canals, Recall Observations
Restrictive Access which had Led to Perforation Complications: Advanced Management, Perforations, Recall Observations
Calcium Hydroxide Treatment:Validation of Healing Instructional, Complications: Advanced Management, Fractured Roots, Retreatment Strategies, Gutta Percha Removal, Recall Observations
Puzzle: Do you treat this malformed mandibular incisor? Complications: Advanced Management
Dens Invaginatus Treatment with an Immature Root Recall Observations, Regeneration / Revascularization