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What is the prognosis of this tooth ? UR first premolar

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  • 09/07/2021 at 8:39 pm #24059
    site_admin
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    Male patient . Age : 59 years .Medical history : Hypertension ( well controlled )

    Tooth : 2-4 / UR first premolar . History : Endo with PFM crown made around one and a half ago ( elsewhere)

    Patient reported with swelling around crown. IOPA show large periapical around 2-4. I remove dthe PFM crown. See images below.

    There also seems to be root fracture.

    What is the prognosis of this tooth ? Should a retreatment be attempted ?

    Hope to see a lot of comments and many thanks in advance for the same.

    Regards,

    Veerendra Darakh

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    09/07/2021 at 9:37 pm #24061
    Dr Sourav Banerjee
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    <p>Prognosis seems questionable rather poor as it is a mid root fracture</p>

            

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    14/07/2021 at 6:21 pm #24076
    Dr Neha N. Lalwani
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    <p>Although prognosis is questionable a Retreament can he planned also if root fracture is in dilemma cbct will further help towards the prognosis. </p>
    <p> </p>

            

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    14/07/2021 at 8:37 pm #24077
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    Thank you very much.  I have extracted the tooth. The palatal root was completely severed. There was no way the tooth could have been saved.

            

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