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Symptomatic molar: distal root fracture or inadequate treatment of the mesial root canal

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I would appreciate your diagnostic opinion. Could there be a horizontal fracture of the distal root? I cannot detect any clinical evidence. What do you think? The patient is symptomatic. Initially, I attributed the symptoms to the inadequately treated mesial root canal.

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Thank you.

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Grazie

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Which tip is used first? Thank you very much.

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Che punta è la prima utilizzata ?grazie mille

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The image is difficult to interpret. If no fracture is present, there nevertheless appears to be a defect near the furcation, where the previous treatment nearly caused a perforation. The mesial root filling is short and should be reassessed. Check static and dynamic occlusion carefully: ask the patient to chew and assess protrusive and lateral excursions. Judging by the pulpal calcification of the second molar, the patient is either very elderly or almost certainly clenches.

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Si vede poco e male. Se non c' è frattura sicuramente sembra di vedere qualcosa a livello della formazione dove hanno quasi perforato. La cura mesiale è corta e da rivedere. Controlla bene occlusione in statica e dinamica, ovvero fai masticare paziente. E fai fare protrusive in avanzamento laterale. O è molto anziano o serra di sicuro a guardare la calcificazione pulpare del settimo.

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Blexo micro.

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Blexo micro.

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Nice.

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Bello

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