This patient came to Superstition Springs Endodontics
in June 2009. Her general dentist had started RCT on #3 but was unable
to locate the MB canal(s). A perforation was made during the efforts
to find the MB canals. We have taught the generalists in our community
that the most successful and fulfilling way to practice endodontics
depends upon careful case selection. Proper case evaluation can:
- prevent lost chair time without reimbursement
- prevent loss in patient confidence
- prevent clinician frustration
The Endodontic Case Assessment Form
from the AAE, can help clinicians determine the difficulty level of
treatment - before therapy is started. This is how this case should have
been classified - prior to starting treatment.
The treatment for this tooth was RCT completion and repair of the iatrogenic damage using Mineral Trioxide Aggregate (MTA).
Fortunately,
with good repair materials, the prognosis for a tooth like this is
still good. A 7 year recall finds the tooth in full function and
asymptomatic.
However,
proper case selection will make your practice of endodontics more
fulfilling, less stressful and ultimately, more successful.