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Treating a Molar with a Deep Furcation Defect

Terry Pannkuk, DDS, MScDDiagnostic Puzzles, Endo-Perio Combined Lesions, Perforations, Dismantling, All by Date

Description

Placement of calcium hydroxide in all root canal systems with Cavit sealing the orifices. The perforation defect was subsequently filled with Biodentine

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Should a tooth with a deep pocket into a furcation defect be treated or extracted?
Patient: 70 year old male patient with controlled hypertension

Chief Complaint: Asymptomatic (referred due to a deep periodontal pocket which was discovered by the referring dentist)

Dental History: The patient reported the root canal treatment having been performed by an endodontist over a decade prior to the initial examination by the author. A crown and core build-up had been performed by the patient’s referring dentist during the same period immediately after the endodontic treatment. A deep periodontal pocket extending into the furcation had been noted by the hygienist during the patient’s last cleaning visit.

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