The Case:

The patient came with discomfort on tooth #19. It had a large furcation defect and a crown that’s ill fitting, that was a “J”
shaped lesion. The dx was a necrotic pulp with chronic apical periodontitis. A LFOV 3D CBCT was taken and you can see
the lesion breakdown in the furcation and the lesion wraps around the distal root.
Is this a crack?
Is this a vertical fracture?
Should this be extracted due to a periodontal defect?

 My “5” STEP Endodontic Protocol On This Case:

1. There was no probing or mobility and the endodontic treatment was
   performed in one visit.


2. There were four canals with separate portals of exits.


3. I used ZenSeal™ bioceramic sealer and single cone gutta percha was
   used in this case.


4. The patient returned in 8 months with remarkable healing at the apex
   of both roots and even in the inter-radicular area where it is difficult
   to regenerate bone in this area.

Dr. Rico Short is a paid consultant of Kerr. The opinions expressed in this article are those of Dr. Rico Short. Kerr is a medical device manufacture and does not dispense medical advice. Clinicians should use their own professional judgment in treating their patients.

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