TO TREAT OR NOT TO TREAT?
The decision to recommend endodontic treatment is sometimes not simple, however technological advances, such as the dental operating microscope and CBCT imaging, have made it much easier. Due to the microscope, we now can successfully treat teeth that, until recently, couldn’t be saved. The file removal case on the left is a great example. Additionally, because of the CBCT, we are choosing not to retreat cases that have a poor prognosis due to likely fractures. In the case on the right, only a few years ago, retreatment would have been initiated without hesitation. We are now able to save our patients the cost and time of attempting treatment in these instances. Proper case selection is extremely important and is something we take very seriously.
*Images from the AAE publication “Colleagues for Excellence,” Spring 2017 Edition
MMS Case Study
Surgical Repair of External Root Resorption This 61-year-old male presented to our office with irreversible pulpitis on tooth #7 subsequent to an external root resorption lesion. A clinical exam showed the lesion to be located on the facial and mesial of the tooth, allowing good surgical access. After discussing options of extraction vs. endodontic treatment, our patient elected to save his tooth due to a strong desire to keep his natural tooth. Root canal therapy was completed, immediately followed by surgical repair of the resorption with Geristore.
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