Big chronic apical periodontitis on a lower incisor

This case was referred to me for the retreatment of a lower incisor (#41). The tooth presented with a big chronic apical periodontitis, which seemed to be affecting the teeth next to it as well. 

In this kind of situation, it is very important to do a meticulous diagnosis to identify the source of the problem so that we do not treat the other teeth mistakenly without reason.

The large size of the lesion is not a synonym for tooth extraction, which unfortunately we see quite often in the decision-making processes. In the absence of bacteria, the bone heals, and we can save the tooth. 

The retreatment was carried out over two sessions with a three-week calcium hydroxide dressing between them.

The use of advanced technologies, materials, and techniques is crucial for improving treatment success rates. With the right experience, planning, and tools, complex cases are usually successful. I always recommend seeking out a specialist with experience to address these kinds of situations and prevent further damage. While results may vary from patient to patient, they are highly predictable in the vast majority of cases.

Let me save your tooth.

PhD. MSc. Dr. Pablo Salmeron at Dr. Roze & Associates.