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Clinical Atlas of Retreatment in Endodontics


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approaches taken to successfully retreat endodontically failed cases

       do's and don'ts during an endodontic treatment

       do's and don'ts during an endodontic retreatment

       the decision‐making process between surgical and non‐surgical retreatment options.

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       Mohammad Hammo

      Introduction to the case: pulpal floor perforation caused by excessive cutting of the floor of the pulp chamber.

       Age: 30 years old.

       Gender: female.

       Medical history: non‐contributory.

       Identification: mandibular left first molar (Tooth 36).

       Dental history: discomfort due to impingement of food inside her molar. Previous treatment done on this tooth 1 year ago.

       Clinical examination findings: deep decay, tooth was filled with food remnants, no mobility, no pain to percussion. After cleaning the tooth, big perforation was noted and bleeding also.

       Preoperative radiological assessment: deep decay and lesion at furcation area due to perforation (Figure 1.1).

       Diagnosis (pulpal and periapical): previously initiated root canal therapy with asymptomatic apical periodontitis.

       First