Page 22 - The Beauty and Sorrow in Endodontics-Chapter 1

(Fig 17E)

3-months follow-up – Healing observed around
# 25 apical lesion and the patient reported no
discomfort. New bridge fabrication was
recommended to restore masticatory function.

(Fig 17F) (Fig 17G)

6-months follow-up – Continued One year follow-up - Near complete
#
#
healing around 25 observed; lamina healing around 25 with reformation of
dura began to reform. its lamina dura.

#
A pre-operative radiograph of tooth 25 revealed a bulbous root tip and its
associated apical radiolucency (Fig 17A, 17B). After proper retreatment (including
removal of the crown, post, and core; renegotiating the main canal; cleaning, shaping,
and obturation), the final radiograph showed a lateral canal filled at the area of the

bulged root (Fig 17C). Regular follow-ups at six-weeks (Fig 17D), three-months (Fig
17E), six-months (Fig 17F), and one-year (Fig 17G) showed gradual decrease in the
size of the apical radiolucency, which is indicative of healing.

Dr. Schilder recommended follow-ups of two to three years or more, until
complete healing is observed and the lamina dura has been reformed. Even if there
was no lesion pre-operatively, he still recommended at least a two-year follow-up to
ensure no lesions or discomfort develop during this time. If the tooth becomes

symptomatic or does not heal as expected, then additional treatment such as apical
surgery may be necessary.

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