I wanted to post this interesting case. She is the sister of an endodontist colleague( no pressure) who arrived in my office with a temp crown and in severe pain. As soon as I took a look, I realized the tooth had a bad MD vertical fracture with no probings or mobility but would likely need extraction. I opened the tooth and decided to do a dual access to remove the least amount of tooth structure in the most vulnerable spot, right where the fracture was running. My thought was, I would loose nothing in pushing the envelope. She returned 4 weeks later and was completely asymptomatic and able to bite and chew so she really wanted to give it a try. After I completed the case (04/ 20 preps on both canals) the tooth was on and off acting up. With the GD, we finally agreed to extract it. The patient says after that appointment, the tooth never bothered her again. The final X-ray is an 18 month follow up. Tooth is completely asymptomatic and fully functional.
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