Page 19 - The Beauty and Sorrow in Endodontics-Chapter 1
P. 19

Case 16


            Apical surgery should not be utilized as a correction for



            improper obturation




























                (Fig 16A)                                       (Fig 16B)
                Pre-operative  radiograph  reveals              Sinogram  with  gutta  percha  cone
                                       #
                                                                         #
                inadequate fill of tooth  22.                   points to  22 as the source of pain
                                                                even after apical surgery. Due to the

                                                                inadequacy  of  the  previous  root

                                                                canal  treatment,  apical  surgery
                                                                should  not  have  been  the  first
                                                                choice of treatment.











                                                   (Fig 16C)

                                                   Treatment  options  along  with  their  risks  and
                                                   benefits  were  explained  to  the  patient,  and  she

                                                   decided  to  proceed  with  root  canal  retreatment
                                                            #
                                                   of tooth  22.




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