3.6 - endodontic retreatment and large perforation repair

The patient presented to the clinic for a second opinion regarding tooth 3.6, after previously receiving several treatment recommendations involving extraction. The initial radiograph revealed an old endodontic treatment with unsatisfactory radiological appearance, complicated by an asymptomatic apical periodontitis. The large lesion in the furcation area raised the suspicion of a perforation at the level of the distal root. A pre-endodontic CBCT was recommended for a more detailed three-dimensional assessment. The CBCT examination confirmed the presence of the distal root perforation. Given the patient’s young age and her strong desire to preserve the tooth, a conservative treatment plan was established: endodontic retreatment, perforation repair, and placement of a provisional coronal restoration for 6–12 months, during which the tooth will be…