18 months follow up (by Ilya Mer)

Русская версия

Two molars retreatment. The patient came from referral with two ruined molars, pain and swelling in region #36-37 (19-18). It looked like # 36 had caused the problems, but 37’s percussion was much more painful. So the #18 was re-treated first. #36 has had separated fragment that sat exactly in the apex but was not visible through the scope.  I tried to find it around the corner with help of sodium hypochlorite’ lens but succeeded. The nickel dropped only in the third appointment when I had realized that it sat just under the small isthmus between DB and DL.  After removing the isthmus and joining the canals it came out at the same moment.  Hard work, 6 appointments needed for both. Both are with temporary filling.  Space for post was remained in both teeth and filled temporarily with Calcium hydroxide paste. After 18 months teeth are not restored yet.

Preoperative X-ray
37 treatment steps
36 fragment removal and final picture
Postoperative X-ray
18 month recall



One thought on “18 months follow up (by Ilya Mer)

Comments are closed.


Apical perf healing (by Ilya Mer)

What a pleasure surprise came yesterday to my clinic. Tooth #36 with apical perf healed completely 3 years after treatment.…

Red Russian cement molar surgery (by Ilya Mer)

Red Russian cement was very popular in former USSR countries and unfortunately still in use in some cases. The main…

12 month CBCT recall after MB root surgery (by Ilya Mer)

Missed anatomy is the most frequent cause of apical development. In first upper molars definitely MB2 is mostly missed canal.…

When the surgery is the only option (by Ilya Mer)

To tell you the truth my therapeutic nature opposes an idea to do surgery in case of unfounded and untouched…