The 48-year-old man agrees to extract the tooth #4 with buccal and palatal fistulae (Fig.1,2 >) and large PARL (Fig.3 *) because of purulent discharge.  The large post (Fig.3 P) is most likely associated with a longitudinal fracture.  The latter is not noted until postop (Fig.4 <).  Intraop finding is large amount of granulation tissue removed from the mesial apical region (Fig.3,5 *).

Repair    Last    Next

Xin Wei, DDS, PhD, MS 1st edition 09/27/2019, last revision 03/13/2020