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 root. But in case of crown and two leg cast post surgery is the only option.

Initial X-ray, missed MB root and huge PARL on top of it. Asymptomatic
Initial X-ray, missed MB root and huge PARL on top of it. Asymptomatic
Root surface after resection of MB root and staining with metilen blue. 3 canals and 3 foramina.
Root surface after resection of MB root and staining with metilen blue. 3 canals and 3 foramina.
all three canals jointed by ultrasonic and sealed with MTA. Waiting for follow up.
all three canals jointed by ultrasonic and sealed with MTA. Waiting for follow up.

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.…

Genre busting tooth (by Ilya Mer)

According to the laws of genre this tooth would be extracted  a year before. It's really looked awful - open…