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Crown removal and orthograde obturation
05 October 2013

Pre op

Patient self referred in as small buccal swelling adjacent to 21. Examination revealed a large discharging sinus.
Rads revealed a large radiolucent area related to the apex of 21, the presence of a post and a poorly obturated root filling.
Options- remove post and crown and re rootfill or apicect.

Pre
Pre op
Post
Post and crown removed with ultrasonics
Irrigation
Irrigation with sodium hypochlorite, EDTA and R4 using ultrsonic irrigation. Obturation with MTA
Crown
Crown and post recemented and length modified.