WHY IS IT BENEFICIAL FOR ENDODONTISTS TO BE PROFICIENT IN EXTRACTIONS AND SOCKET PRESERVATION?
This patient presented to our office complaining of a draining sinus tract on the palatal gingiva of tooth #14. Clinically, tooth #14 had an isolated deep probing depth of 13mm on the palatal aspect with corresponding complete bone loss around the palatal root on the CBCT (not pictured below). The patient was advised that these findings are consistent with vertical root fracture and prognosis is hopeless. The patient was highly motivated to extract tooth #14 and restore with an implant.
Although it is not a requirement for endodontists to be proficient in extractions, socket preservation or dental implants, it is a great service that can be offered to patients in order to resolve pathology in a more efficient and convenient manner for both patients and their restorative dentists. In this case both the patient and referring dentist consented to extraction and socket preservation. Vertical root fracture was confirmed upon extraction.