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A large lesion after root canal treatment

A tooth I treated endodontically returned with a large lesion. I pay attention to my irrigation and instrumentation protocols. I placed a post in the palatal canal of an upper first molar and a large lesion developed. What could be the cause?

Translated version of the Turkish original

There can be many causes: there may be a second canal, or the apex of upper molars is often very wide, making a seal with gutta-percha impossible during filling. In such cases an apical MTA plug may be preferred. Another possibility is that a perforation or crack developed while preparing the post space.

Author of the original answer: Doç. Dr. İsmail Davut Çapar

Medical review of the Turkish original:

Turkish answer published on this website:

Translation published:

The review date refers to the Turkish original; it does not indicate a separate medical review of the translation.