Case #3 retreatment #19 on 11 year old patient

Pre op: tooth #19 with a failing root canal

Please note the (underwhelming) root canal filling.  Patient, 11 years old, was quite symptomatic.

A young tooth is difficult to clean and obturate well because of the size of the canal system. 

Post op: completed retreatment

An alloy was placed in the access to ensure against any bacterial products.

3 year post operative x-ray

Periapical lesion has healed and tooth is  asymptomatic.

I recommend full coverage at 18 years of age to allow for structural changes in her dentition. Prior to 18 it is probably best that a posterior tooth have some sort of temporary crown.  I always recommend this to the patient and parents.