PMC4178362_01
Periodontal involvement in retained E
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F1a
Radiographically, the findings were confirmed as retained E with apical bone loss and grade 2 mobility [Figure 1a]. After cleaning and shaping in three canals, two no. 25 and one no. 35 reamer was placed as an endodontic implants depending on the size of the canal [Figure 1b]. An endodontic implant was placed in order to stabilize the tooth and retard periodontal breakdown [Figure 1c]. Six months later an oral and radiographic examination revealed reduced mobility and no further loss of bone in treated tooth [Figure 1d].
PMC4178362_02
Reamers were extruded to use as endodontic implants
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F1b
The access preparation was carried out, and a working length radiograph was taken [Figure 2b]. File was grooved at 16 mm from tip so that the handle can be separated once the file was in a position [Figure 2c]. 3-0 black silk sutures were placed in vertical flap, and marginal gingival and antibiotics and analgesics were prescribed. Six months later an oral and radiographic examination revealed reduced mobility and bone formation in radiolucent area [Figure 2d].