Case 45 Retreatment & teeth treated “overseas”

Pre-operative x-ray #18

Three teeth treated overseas with a paste root canal filling material. The only tooth that was symptomatic was #18, with untreated mesial canals.

Post –operative x-ray #18

Retreat distal canal and treated both mesial canals.

 Please note: The obturated channel between the mesial-buccal and mesial-lingual canals.

I see in my practice, many teeth done overseas that have paste root canal fillings which are asymptomatic. I would not treat a tooth with paste fill which is asymptomatic, even if is obvious short-fill, unless the crown is going to be placed /replaced or if an apical lesion is present.  In this particular case #19 & #20 should be left alone.