Question 113 · LDEK · Endodontic retreatment

A patient presents to the dentist with recurring pain on biting in tooth 32. The tooth was treated endodontically half a year before. The X-ray reveals the proper obturation of the root canal as well as a periapical lesion. The marginal periodontium is sound. What kind of procedure should be proposed?

  1. A. because of recurring pain and endodontic treatment carried out not long ago - tooth monitoring, the lesion may heal spontaneously.
  2. B. endodontic retreatment of the previously obturated canal.
  3. C. taking an X-ray in another projection and in the case of finding not obturated root canal the endodontic retreatment with the attempt to find the second canal in the labio-lingual direction.
  4. D. apical root resection.
  5. E. tooth extraction because of the failure of previous endodontic treatment.
Hint

Consider how often mandibular incisors have a second canal and why it may be invisible on a standard orthoradial radiograph.

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