28/01/2026
Oral Cutaenous Fistula Secondary to Failed Root Canal Treatment- performed at the Mall by a MALL DENTIST(well-known along the area)
Patient came in with a facial manifestation of Fistula Originating from the proximity of the Apex of Upper Right Maxillary Canine. Upon consultation, the was a 4-unit(15,14,13,12) bridge that failed and broke within the area where the fistula was suspected to have originated from. When the patient removed the bridge effortlessly, the teeth underneath were severely carious.
Initial periapical xrays were taken and there we found out that the concerned teeth had undergone ROOT CANAL TREATMENT already but werent done correctly and properly. All the teeth were obturated short by about 4-5mm almost done just past the middle third of the roots.
Luckily, there was enough bone and ligaments to hold the teeth and enough tooth structres left making it possible to just redo the ROOT CANAL TREATMENT and perform GINGIVECTOMY (to gain more ferrule) and post &core to augment the crowns for future refabrication of another Porcelain Fused to Metal(PFM) Bridge. These were all done under a month, just 3 weeks to be exact.
Today we were able to cement the newly fabricated bridge with well covered margins and the patient was instructed to still come back since he resides now in Italy for further treatment of the anterior and left side. Thank you for your patience sir and take care. Another smile restored.