Please activate JavaScript!
Please install Adobe Flash Player, click here for download
ePaper created 2017-03-17, 10:24:23 | version 1.38.0
Fig. 5 Fig. 6 Fig. 7 Fig. 8 Fig. 5 A paramarginal rectangular flap was raised to reach the apical third of the maxillary canine. Fig. 6 Once the flap had been raised, an endosseous implant became visible under the mucosa. Fig. 7 The implant was released on the sides. Fig. 8 The implant was removed. Fig. 9 Exploration of the resected root surface at high magnification. Note that the metallic post was filled with gutta-percha at the bottom and strongly engaged in the root canal. Fig. 9 tooth was opened and the canal filled with a pulp canal sealer and warm gutta-percha released from the Obtura II syringe (Obtura Spartan Endodontics). After completion of the root canal filling, the surgical treatment followed. A paramar- ginal flap was incised (Fig. 5), and after elevation of the soft tissue, an endosseous implant became visible under the mucosa (Fig. 6). The implant was wrongly posi- tioned in the submucosa rather than in the bone and was actually responsible for the painful symptomatology. In order to eliminate the metallic object, the bone around the post was gently cu- retted (Fig. 7) and the implant was vibrated with ultrasonic tips. The implant was very tightly wedged in the root, and it was thus decided to cut the apical part of the root containing the metallic post. Once the apical part of the root, together with the metal post, had been removed (Fig. 8), inspection of the resected root surface was performed under the operat- ing microscope under high magnification. The resected root presented with a metal ring that corresponded to the cave part of the implant (Fig. 9). Since the metal ring contained old gutta-percha that was po- tentially infected, attempts to loosen the metal ring with ultrasonic tips were made (Fig. 10). Using ultrasonic tips, the metal 40 — issue 2017 Endodontics Article