Proper diagnosis is so crucial to treatment planning. A necrotic pulp with an enormous, alveolar bony defect - even with lateral bone loss - is not indicative of root fracture. It is a possibility, but if the tooth has never had RCT before - I do not assume a root fracture. EVEN if the bone loss is extensive. Here's a great example. 6 months healing on a tooth that could easily be considered non-restorable.
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#30 was first seen in 2021 and no tx recommended.
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| Pt returns in July 2025 with necrotic #30 and large apical lucency |
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| CBCT shows a floating distal root. This would be easy to assume the root is fractured and not treatable OR that perio status would be poor... |
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| RCT completed July 2025 |
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| 6 Month Recall!!!! |
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| Check out that furcal bone healing! |
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| Check out that distal bone healing. No root fracture or perio issues. |
