Case 29 Another look at re-implantation

Pre-operative x-ray #18

Previous root canal with silver cones and separated file in mesial root. Patient was symptomatic.  My initial diagnosis was a fractured root. No attempt was made to retreat and I extracted assuming I would find a fracture.




Post-operative x-ray #18
I saw no fracture, so I did retrofills on all canal systems and replaced.






8 year post-operative x-ray #18

Tooth is asymptomatic after 8 years with no mobility. My only concern is the distal root apically which may appear to have some bony breakdown. Will continue to monitor.






Comments:
Don't assume anything. Re-implantation is just another way of treating a failed root canal.