Lateral canal and apical hook (by Ilya Mer)

Русская версия

Patient was referred for apical surgery of #12 due to acute apical periodontitis and sinus tract. Elective endo treatment was done 3 years before just before PFM placement.

Preoperative X-ray abd GP tracing

After consult we made a decision of orthograde revision first then surgery if need. I had no illusions I could negotiate the apical curve but believed that was not the problem

I spent 2 visits with calcium hydroxide to calm the situation down then obturated. A lateral canal was filled and could be suggested as associated with a PARL.
10 month recall before a new prosthetics. Healing in apical perf area and laterla resorption as well




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