Case Studies

Endo-Perio Combined Lesions

Submit a Case

UPDATE 1 year Recall: Mandibular First Molar Presumed Split, but not.

Not all teeth that look split are split; expect the unexpected!

Patient: 49-year-old male with controlled hypertension and hypercholesterolemia

Chief Complaint: Swelling on the cheek-side of his right lower molar

Dental History: The patient reported having had a bonded resin filling material having been placed in his mandibular right first molar approximately 6-12 months prior to the time of examination. His dentist had reported a crown fracture and on a recent cleaning visit buccal swelling was noted with a 12 mm sulcular defect communicating with the buccal furcation. The dentist was certain the tooth was split and referred the patient to the author because the patient insisted upon wanting to see if the tooth could be saved.

Endo-Perio Combined Lesions

View more

21 Year Recall: Internal Perforation Repair with Amalgam

Endo-Perio Combined Lesions

Long-term recall of internal perforation repair with amalgam

Patient: 38 year-old male in excellent health (1994)

Chief Complaint: Severe tooth ache

Dental History: The patient presented to the author in 1994 having had previous endodontic therapy on the maxillary right first molar (tooth #3) in 1990. Severe tooth pain had developed localized to the tooth 1 ½ weeks prior to the author examining the patient at which time the patient’s dentist had attempted endodontic retreatment. The attempted nonsurgical endodontic retreatment procedure failed to relieve the patient’s pain and the general dentist had performed an emergency surgical flap procedure. Antibiotics and narcotic analgesics had been prescribed and the patient was referred for endodontic consultation (1994)

View more

Conclusion of Puzzle Case: Complexities Treating a Molar Tooth having a Root Amputation

Endo-Perio Combined Lesions

What problems and complexities can be expected when treating this tooth?

Patient: 67 year old female with glaucoma

Chief Complaint: Cold and biting sensitivity since periodontal surgery

Dental History: The patient presented a history of periodontitis and periodontal treatment. A distobuccal root amputation had been performed on the maxillary left second molar one week prior to consultation with the author. The patient was referred for root canal treatment on the mesiobuccal and palatal roots by the treating periodontist.

View more

17 Year Recall: Hemisected Mandibular Molar

Endo-Perio Combined Lesions
May 13, 2019

UPDATE: Suspected Split Lower Molar Found to be Resorption

Endo-Perio Combined Lesions
May 6, 2019

Treating a Molar with a Deep Furcation Defect

Endo-Perio Combined Lesions
Jun 11, 2018

Retreatment Failure Deconstructed

Endo-Perio Combined Lesions
Jul 10, 2017

The Endo-Perio Combined Lesion

Endo-Perio Combined Lesions
Apr 24, 2017

Problems with a Permanently Splinted Mandibular Anterior Tooth

Endo-Perio Combined Lesions
Mar 20, 2017

Combined Endodontic-Periodontal Lesion

Endo-Perio Combined Lesions
Jul 18, 2016