Page 27 - The Beauty and Sorrow in Endodontics-Chapter 1

Case 19

Any compromised treatment will result in unnecessary stress

and potential future problems

(Fig 19A)
Female patient in her 60s presented to the office with

the chief complaint of tooth mobility, gingival
abscess, and inability to eat for weeks. The referring
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dentist had recommended extraction of tooth 36
with plans for reconstruction after healing.
Radiographic examination revealed apical and furcal
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radiolucency around 36.

(Fig 19B)

The patient had experienced similar pain and
discomfort a few years back on the right side and had
some teeth extracted and replaced with a removable
partial denture, which she does not use. She wanted

to discuss the reconstruction plan prior to initiating
any treatment this time.

(Fig 19C)

The patient was informed that root canal treatment
may provide her with the chance to retain the tooth.
The access cavity was prepared without any
anaesthetics and pus drainage was observed as soon

as the pulp chamber was opened. Proper cleaning,
shaping, and a tight coronal seal were completed.
The patient was informed to monitor her symptoms
at home.

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