12 month follow up after maxillary premolars NSRCTx (by Ilya Mer)

What is the periapical lesion size depended on? Probably it has a correlation with number of intracanal microorganism’s taxons and number of microbiota itself. Does the periapical lesion size has an influence on a decision making process?  Most of my referring dentists  DO believe so. That’s why I got this patient for the consult firstly. Usually I see it as a sign that RD has a doubts whether tooth could be saved.

This is the preoperative radiograph following much more impressive CBCT images. Periapical film gives an image that the first premolar is a cause of inflammation, but CBCT shows the truth. The main bone lysis is associated with  second premolar apex
This is the preoperative radiograph following much more impressive CBCT images. Periapical film gives an image that the first premolar is a cause of inflammation, but CBCT shows the truth. The main bone lysis is associated with second premolar apex
Orthograde revision was done in a typical way with calcium hydroxide as an interappointment dressing.
Orthograde revision was done in a typical way with calcium hydroxide as an interappointment dressing.
Postoperative images
Postoperative images
12 month recall images show complete healing and new PDL formation in around second premolar apex
12 month recall images show complete healing and new PDL formation in around second premolar apex

 

 

 

 

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