No one bats 1.000 when it comes to any type of endodontic treatment. When properly diagnosed however, most of these necrotic teeth with sinus tracts will have a successful outcome from a single operative visit with a reevaluation visit to confirm healing 4-6 weeks afterwards. Both cases in the last post were successes to me.
Sure, they did not resolve following nonsurgical treatment, but it was not secondary to the quality of the care or an improper diagnosis, but rather the etiology required a multipronged approach to achieve full resolution. In the interest of full disclosure, I pulled the two cases that fit this clinical category from the last calendar year that I saw that did not resolve.
As far as the successful outcomes you will see below…I didn’t bother to look further back than a couple of months for cases treated in single visit. There are simply too many in the last year to post.
Some case types are amenable to endodontic treatment, others not so much. With a keen eye, you can often tell the difference. Not always, but very often. Enjoy the successful outcomes below. I hope you enjoy looking at them as much as I enjoyed treating them. While I have offered some cursory information on each case, in the next post, we will examine diagnostic pitfalls and other things of note when facing this case type. We will also look at some cases that I chose to treat differently, and we can discuss why.
Treatment of both teeth separated by six months or so. Full soft tissue resolution following #3, sinus tract traced to #2 appeared. Following treatment of #2, patient now asymptomatic with normalized soft tissue.
No sinus tract, soft tissue normalization at six weeks.
No sinus tract, soft tissue normalization at six weeks.
Bloody discharge upon accessing the nerve space. 7mm+ periodontal pocket upon initial presentation. At six weeks, no sinus tract, gum tissue blanched upon aggressive challenge from periodontal probe.
No sinus tract, soft tissue normalization at six weeks.
No sinus tract, soft tissue normalization at six weeks.
Nonsurgical endodontic treatment, when combined with proper diagnosis, is a predictable treatment option for this case type.
