Page 61 - The Beauty and Sorrow in Endodontics-Chapter 2

Rx: Clindamycin 300mg TID for 7 days

Appt 2: Temporary restoration and cotton pellets removed. Canals
disinfected with 1% NaOCl with ultrasonic tips. Master cone fit verified (Fig

30J) and disinfected. Final irrigation with QMix for 2-3 min and the canals
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dried with paper points. Both master cones were cut back 2mm from WL to

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avoid extruding GP out the apex during obturation. Warm vertical
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compaction obturation (Fig 30K). Fiberpost with resin core (Fig 30L).
Occlusion reduced. Final radiograph taken (Fig 30M).

Rx: Clindamycin 300mg BID for 7 days

2) Full mouth periodontal treatment with periodontist

3) Follow-up

6-months – The patient reported she no longer gets gum boils; radiographic
examination showed reduction in the lesion size and an increase

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in the mesial alveolar bone height of 45 (Fig 30N). Reinforced
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the importance of coronal coverage for 45 and treatment for her
periodontitis.

3-years – Unable to reach the patient prior to this date. Near complete
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healing of the apical lesion of 45 observed with reformation of
its lamina dura and resorption of the extruded sealer as the bone
fills (Fig 30O).

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4.5-years – 45 responded normally to percussion and palpation testing and
exhibited normal probing depths. Radiographic examination
showed a healed lesion with no remaining apical radiolucency.

Most of the extruded sealer has been resorbed, which made the
sealed exits of accessory canals to be more visible on the

radiograph (Fig 30P). This demonstrates that proper seal of the
apex will remain many years after obturation. The patient was

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again advised to see a periodontist for treatment for 47 as the
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