Page 13 - The Beauty and Sorrow in Endodontics-Chapter 3

Case 32

Primary periodontal lesion with secondary endodontic

involvement require both periodontal and endodontic treatment

Fig 32A Fig 32B

Patient reported extreme pain on Although the etiology was unknown,

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tooth 21 that started a month ago, he root canal treatment was completed
acknowledged he has periodontal first as tooth 21 was necrotic and it
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disease but still wishes to save the was the patient’s wish to retain the
tooth which now has grade 3 mobility. tooth.

Fig 32C

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Enlarged radiograph of the apex of tooth 21 – a lateral
canal has been obturated near the same level of the

alveolar crest, the infection may have originated
periodontally and infected the root canal system
through the lateral canal.

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