Endo OR Implant
56 Yrs old lady, consulted me for an opinion. Previous Rx-History in another dental office= Root canal treatment and individual crowns for upper anteriors and bicuspids, just 4 months back. Present C/C and symptoms= Toot no. 9 (21) tender with draining sinus in the zone of attached gingiva. Her previous 4 consultations had advised her to go for extraction and implant placement, which she is not comfortable with - because its just new, invested and she does'nt want to loose her natural tooth from her jaw.
Diagnosis = C.B.C.T analysis revealed a perforation in the labial cervical region, and a poor biomechanical preparation of the root canal and obturation.
Treatment Done = Retained the same old crown. Identified the perforation with the help of magnification,and Sealed the defect with M.T.A, cleaning and shaping of root canal, calcium hydroxid dressing and obturation. Symptoms vanished and draining sinus healed. Ashok.