Page 23 - The Beauty and Sorrow in Endodontics-Chapter 1

Case 18

Regular follow-ups will reveal the difference between

overextension and overfilling

(Fig 18A)
#
Improper obturation of tooth 25 resulted in
pain and discomfort for the patient. The patient
expressed difficulty choosing between various
treatment options since the crown was newly
cemented, and she did not want it

disassembled.

(Fig 18B)

The patient was informed that apical surgery
would not be able to address the distal mid-root
lesion and the possible lateral canals at that

location. After discussing the risks, benefits and
alternatives of each treatment option, the
patient agreed to have the crown removed and
complete root canal retreatment.

(Fig 18C)
Two lateral canals are seen densely obturated

after retreatment. A white-in-white dot is also
seen at the exit of the main canal, which
signifies a properly overfilled canal system.

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