Surgical or non surgical? (by Ilya Mer)

History of pain in Jan 2013 second molar was extracted and pain was released
No complaints since there. Accidental finding on X-ray

Preoperative X-ray
Preoperative X-ray
GP tracing
GP tracing
Sinus tract
Sinus tract
No lesion on mesial root
No lesion on mesial root
Lesion and sinus tract on distal root
Lesion and sinus tract on distal root

Two options were possible – surgical and non surgical – we discussed both with patient and decided to go surgically.

sinus tract
sinus tract
missed DB brunch of distal root
missed DB brunch of distal root
Retrofill was done with MTA
Retrofill was done with MTA
Final X-ray
Final X-ray
9 months later
9 months later
sinus tract healed, lesion's healing in a progress
sinus tract healed, lesion’s healing in a progress
12 months
12 months

 

 

 

 

 

 

 

 

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