implant special

Another case: Stop endo consults and just do the implant?

Last Updated June 14, 2019
Reviewed By:  OsseoNews Team

This is another endo/implant post similar to my other post regarding large apical lesion on #19. This case is a 12 year, asymptomatic #19 endo “fail.” The pan shows a decent fill. Since most endodontists I work with don’t provide a diagnosis, I have no idea if there was a cracked tooth situation. Obviously, if it was cracked into the furcation, (or a perforation) then this is an implant case with no need to consult. But if the endo fill appears to be decent and with a furcation lesion this size with significant bone loss, would you refer the patient for an endo evaluation and re-treatment or remove the tooth, graft the site and place an implant? What should I tell my patients regarding an endodontic re-treatment prognosis of a large radiolucent lesion with bone loss like this vs. the prognosis of a “clean” 5.8 x 12 implant case.

(click images to enlarge)


Conventional Pan 6-4-13 shows lucency #19 furcation.  RCT done 12 years ago.  Asymptomatic since.Conventional Pan 6-4-13 shows lucency #19 furcation. RCT done 12 years ago. Asymtomatic since.
CBCT  6-4-13 confirms lucency #19 furcation.  RCT done 12 years ago.  Asymptomatic since.CBCT 6-4-13 confirms lucency #19 furcation. RCT done 12 years ago. Asymtomatic since.
CBCT Tangential view #19 close-upCBCT Tangential view #19 close-up
CBCT T CS view #19 close-up with 5.8 x 12 implant planCBCT T CS view #19 close-up with 5.8 x 12 implant plan
CBCT T CS view #19 close-up with 5.8 x 12 implant planCBCT T CS view #19 close-up with 5.8 x 12 implant plan


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