Friday Flops #7
Channel: Jarod W. Johnson D.D.S.
Date: 24/03/2023

Friday Flops!  I had a few failed pulpectomies and pulpotomies this week; all on Monday.  Not typical for me, but this one is an easy one to learn from.  Tooth #K was necrotic and a six year molar was not present.  I try to save these teeth if possible to avoid having to do a distal shoe.  I treated it with a pulpectomy and a stainless steel crown.  On recall it came back with an acute apical abscess.  The reason is obvious on the bitewing, an open margin on the distal of the crown.

To avoid this more occlusal reduction was needed to allow the preformed crown to seat.  Treatment now is extraction and a band and loop.