Restoration determines endo (by Ilya Mer)

Poor integrity of distal margin of PFM put in doubt that tooth could restored one more.

Diagnostic removal of all old restorations in this case should be done before decision of endo retreatment

Preoperative view of periapical and in a parallel beam.
Preoperative view of periapical and in a parallel beam.
after all old restorations removal and distal margin exposure the decision of re-treatment possibility was made
after all old restorations removal and distal margin exposure the decision of re-treatment possibility was made
Pre-endo build up made of composite
Pre-endo build up made of composite
two step  endo with Ca(OH)2 dressing
two step endo with Ca(OH)2 dressing
Post obturation pulp chamber view
Post obturation pulp chamber view
Final view
Final view

 

 

 

 

 

 

RELATED POST

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…