The patient was referred for a number of re-treatments which had been done in her own country. The tooth was symptomless, but showed a large lesion on radiograph. The tooth was re-treated using conventional techniques and healed uneventfully.
Pre operative
Post operative
Recall at 2 years
Re-Treatment: Tooth 11
The crown on this tooth was being replaced and the root filling was inadequate. The cast gold post and core was removed using ultrasonics and the tooth re-treated. Post space was re-prepared and a provisional post crown made.
Pre operative
Post-operative with temporary post crown
Re-Treatment: Tooth 46 (another)
The patient was scheduled to have surgical removal of teeth 45 and 46 and enucleation of the lesion. Instead he elected to have endodontic re-treatment first on 46. He did not return for review until 5 years later and had experienced no symptoms in the intervening time.
Lateral Ceph image
Pre-op periapical
5 year review
Re-Treatment: Tooth 35
The patient was referred for an assessment and treatment of tooth 35. Although the tooth was symptomless, the radiograph displayed a lesion of endodontic origin at the apical limit of the post.
The post crown was removed and the tooth re-root treated. A perforation was identified and repaired using MTA and the post hole re-aligned. The tooth was reviewed after 12 months and was found to be symptom free. The radiograph showed that the lesion had healed.
Pre operative
Post operative
12 months recall
Re-Treatment: Tooth 14
The patient was referred by a specialist prosthodontist for assessment and treatment. Although the tooth was symptomless, the radiograph showed a large lesion related to the apical extent of the posts. The bridge was removed intact and the perforation repaired with a calcium sulphate barrier and MTA. The post was shortened and recemented permanently and the bridge was also cemented permanently. The lesion healed uneventfully.
Re-Treatment: Tooth 46
