Silver Point Removal, Pure Dental Learning

Puzzle Case: Silver Point Retreatment Part 1 and Part 2 (Conclusion)

What is your diagnosis, prognosis and treatment plan?

Silver Point Removal

15 year recall: Silver Point Retreatment

Silver Point Removal

Retreatment is predictable and preferable to extraction

Patient: 51 year old female, with hypertension (at time of 15 year recall)

Chief Complaint: Asymptomatic

Dental History: The patient reported a history of root canal treatment years earlier. Her dentist noted recurrent caries and a compromised crown margin associated with the mandibular right second molar (Tooth #31). Periapical radiolucencies consistent with a chronic periradicular periodontitis were noted.

Silver Point Recall (18 years)

Silver Point Removal

Learn the long term effects of narrow interseptal bone and the value of learning from long term recall data

Case: Patient presented with periodontal symptoms 18 years after having nonsurgical retreatment

Patient: 76-year-old female with high cholesterol (taking statins)

Chief Complaint: (1994) dull ache, (2012) severe gum bleeding

Dental History: Initial root canal treatment with silver points was performed 30-40 years prior to the recall examination (tooth #19). The patient returned 18 years after the author’s retreatment for an evaluation of severe periodontal inflammation (#19).