Failure treatment (by Ilya Mer)

History of pain for more than 6 months. Tooth #2.4 with CAP was treated by dentist who found only on canal. During 2 months retreatment was attempted, last time with microscope, additional merged canal was found. Patient still had pain in touching her tooth and also had a painful point  to push near her nose.

Preoperative X-rays
Preoperative X-rays, quite good endo but temp restoration
fortunately there was no  fracture line.
fortunately there was no fracture line.

 

CBCT shows PARL and cortical bone destruction
CBCT shows PARL and cortical bone destruction
Debris in main canal and missed additional canal or apical ramification
Debris in main canal and missed additional canal or apical ramification
retro prep with JeTip 5mm
retro prep with JeTip 5mm
Obturation with BC putty
Obturation with BC putty

 

 

 

 

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