Treatment Planning Dilemmas

TREATMENT PLANNING DILEMMAS:

Here we present a case with an initial presentation of a history of both non-surgical and surgical treatment (of the MB root). The patient’s chief complain included persistent pain. CBCT (not shown here) confirmed a lesion associated with the MB root. Interestingly, we also noted that surgery had been done on the MB canal but not he MB2 canal due to an incomplete root resection. The apical plug associated with the MB canal was intact. With the help of the patient’s lack of motivation to pursue surgery again, the decision was made to non-surgically retreat the case. One pre-fabricated post was removed and two Thermafill carriers. Although only a few week follow-up, we are happy to report that the patient is now symptom free. We also plan on following up with obligatory recall exams…