Signs and Symptoms
The tooth tests vital and this radiographic view was the foundation for the referral generated from an annual hygiene appointment.
Beyond the obvious distal decay pattern the additional distal root defect was evaluated by acquiring a CBCT scan…
CBCT Exam..
The following CBCT slice demonstrates the “extra canal” nature of the defect perforating the lingual external root face about 4mm. below the osseous crestal height.
The sagittal CBCT slice demonstrates a buccal-lingual extent of the defect.
Treatment Option
“Extra canal invasive resorption” described throughout the dentinal literature by a number of different nomenclatures remains a destructive, often asymptomatic process. The defect will need to be treated by debridement, and restored in order to retain a tooth affected by this process, often in conjunction with conventional endodontic therapy.
The above case was recommended for extraction with an implant replacement.
For numerous hours of powerful educational and demonstration videos, along with a companion-training manual of tremendous endodontic practical information, purchase our ADA-PACE approved instructional program, while earning 16 CE AGD-CERP units.
Want to Learn more?
Success in Endodontics 2.0 is an evidence-based online endodontic textbook that shortens the learning curve to do predictable and successful endodontics. This comprehensive, continuing education program was designed for the general dentist who has completed less than 5,000 root canal procedures.
What do you think?
I’d love to hear your thoughts on this case.