Doctor, in a patient with an extraoral fistula, is anything needed beyond the standard procedure? I am going to start treatment on tooth 43 in one of my patients. The patient's crowns are joined, and the patient does not want them removed. I will drill through the top. What do you think?

Question

Doç. Dr. İsmail Davut Çapar · Accepted Answer

If the patient does not want the crown removed, there are risks: there may be decay beneath the crown, and hypochlorite may leak into the surrounding tissues. Even if there is no leakage, the treatment is highly likely to fail later because of decay.