Long story with happy end (by Ilya Mer)

The beginning of this story was at April 2013. Patient couldn’t bite on her tooth for a month since ¬†endo was done at another clinic (initial diagnosis pulp necrosis and SAP). Percussion indeed was painful. I adviced her to wait for a few weeks/months hopping that symptoms would release. Actually endo looked not that bad except MB.

Preoperative film
Preoperative film
Finally in Act 2013 symptoms were still threr and decision was made to retreat all canals. Treatment was done by the book, patient felt better but still tooth had a  tenderness to percussion.
Finally in Act 2013 symptoms were still threr and decision was made to retreat all canals. Treatment was done by the book, patient felt better but still tooth had a tenderness to percussion.
June 204 symptoms were  persisting . Apiciectomy of MB and DB root were attempted Retrofill with MTA
June 204 symptoms were persisting . Apiciectomy of MB and DB root were attempted Retrofill with MTA
14 mo follow up - no sympt healing occurred and patient was calm.
14 mo follow up – no sympt healing occurred and patient was calm.

 

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