ABSTRACT
AIM: To report a case demonstrating a radiolucency of developing adjacent to an unfilled post space. SUMMARY: A mandibular left first molar was root filled before post-space preparation. The tooth was restored coronally but the post space was left empty, and 14 months later, pain and furcal radiolucency developed. Cleaning, shaping, medicating and filling the post space resulted in the resolution of symptoms and healing of the radiolucency. KEY LEARNING POINTS: Post space should be prepared under conditions of asepsis. A post space must not be allowed to remain empty when a tooth is restored.
Subject(s)
Post and Core Technique/adverse effects , Toothache/etiology , Adult , Dental Leakage/etiology , Dental Restoration Failure , Female , Humans , Retreatment , Root Canal ObturationABSTRACT
Endodontic treatment of a permanent mandibular first molar and a second molar presumably joined by cementum is presented. This case illustrates the difficulty in interpreting the vitality testing in such a situation. It also suggests possible irreversible pulp injury of a vital healthy tooth caused by extension of the inflammatory periapical pathosis of the adjacent tooth.
