seperated instrument in MB canal

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seperated instrument in MB canal

The opinions within this web page are not ours. Authors have been credited for the individual posts where they are. Photos courtesy Venkat - ROOTS

From: Venkat
To: ROOTS
Sent: Tuesday, July 15, 2008 3:55 PM
Subject: [roots] [ROOTS ] Case1

H/o seperated instrument in MB canal. symptomatic after 3 years
tried to bypass but couldnt
filled both canals with MTA and did apico to remove it.
beveled root end resection rather than horizontal. may be should have gone horizontal.
removed the instrument - Venkat

Dear Dr Venkat fabulously done case!

But I have a question. The crown seems all hollowed out with very little toothstructure
on the periphery, it appears that risk of fracture of crown is an imminent risk.
- how do you handle that?  - Dr Sanjay Jamdade

Thanks Sanjay for asking this question.

I discuss at the start the perio, resto and endo prognosis with the patient. (see attached pics)
In this case we did discuss the resto prognosis is fair. all risks and options were presented.
Especially this case where both marginal ridges have been restored and had previous endo treatment,
he risk scale goes up.

If it fractures mid treatment, then I would assess the remaining tooth structure and continue or
discontinue treatment.

she is fine after 9 months after treatment. and restorative dentist was happy with the ferrule
he achived. i hope it lasts we never know .do we? - venkat