9 year retreatment recall

1 visit lateral incisior Coagulum over implant Trauma- Endo-Surgery Pre bent SS hand files Isolation for post buildup Placing MTA retrofill Horizontal percussion Calcified central incisor Temporary glass ionomer Irreversible pulpitis Ortho and retrograde coronal restoration Cervical hypersensitivity	23 year recall A gone case Weird lesion Huge lesion Pulpitis on 45 Isthmus anatomy 14 year recall Caries exposure Tooth #37 Perio inflammation Severe percussion 2 D healing Crown access	Canal with acute bend Cracked tooth syndrome Tooth discolorisation Mesial systems with POE Endo treatment Newsletter 30th May 2010 Endo implant To CT or not Buccal gingival swelling Polished collar Molar restoration Immediate implant Whiteline puzzle	Final coronal preparation Type 3 Heithersay resorption 19 year recall - Molar case Isthmus Anatomy Acute irrversible pulpitis Horizonatal,vertical percussion Orthoband cases Symmetric resorption Removing Niti instruments Calcified incisor Ca(OH)2 extrusion Resorption defect Apico on MTA

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9 year retreatment recall - Courtesy ROOTS

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From: Terry Pannkuk
To: ROOTS
Sent: Wednesday, September 29, 2010 7:36 AM
Subject: [roots] 9 year retreatment recall

I retreated this molar that had a missed MB2 canal and missed DB2 canal in 2001.
It was a very tough case that had been hacked up.   Is the lesion gone?  - Terry

I forgot to post the all-important CBCT plane images.  It is a massive bubble (it’s the lesion! ).
Here’s the attachment I accidentally left out. - Terry

The patient had been fine up until the crown was replaced a year ago.
2 weeks ago he developed swelling and biting sensitivity.   I tested slight palpation
and percussion sensitivity.  I wanted to see what was going on since it was a very
complicated retreatment.  I scan as many of my own recalls for free as I can.
If I had not treated this case myself, I probably would have taken a scan just because
the sinus is obscuring the view so much on the PA.   Due to the immense size of the lesion,
possibly being something weird like an OKC, I’m going go straight to surgery, but I could
make a case for doing nonsurgical first.   Is the DB2 a real DB2 or a false path?
The DB-P root fusion is interesting.  I’ll try to take a lot of pictures during the surgery.
The patient is very laid back and easy going.

This is definitely a good one to take a scan on!  Check out the other attached views.- Terry

Protaper flaring 6 yr old Empress Cvek pulpotomy Middle mesial Endo misdiagnosis MTA retrofill Resin core BW importance Bicuspid tooth Necrotic #8 treatment Finding MB2 / MB3 Deep in a canal Broken file retrieval Molar cases Pushed over apex MB2 and palatal canal Long lower third Veneer cases CT Implant surgury	Weird Anatomy Apical trifurcation Canal and Ultrasonics Cotton stuffed chamber Pulp floor sandblasting Silver point removal Difficult acute curve Marked swelling 5 canaled premolar Sealer overextension Complex anatomy Secondary caries Zygomatic arch Confluent mesials LL 1st molar (#19) Shaping vs Cleaning First bicuspid In Vivo mesial view Inaccesible canals	Premolar 45 Ortho and implant Radioluscency Lateral incisor Obturation Churning irrigant Cold lateral Tipped to lingual Acute pulpitis images Middle distal canal Silver point Crown preparation Epiphany healing Weird anatomy Dual Xenon Looking for MB2 Upper molar resorption Acute apical abcess Finding MB2	Gingival inflammation Irreversible pulpitis AG BU ortho band TF Files using TF files Broken bur Warm technique Restorative prognosis Tooth # 20 and #30 Apical third 3 canal premolar Severe curvature Interesting anatomy Chamber floor Zirconia crown Dycal matrix Cracked tooth Tooth structure loss Multiplanar curves