Page 21 - The Beauty and Sorrow in Endodontics-Chapter 3

Fig 34E Fig 34F
6-month follow-up – Reformation of One-year follow-up – Complete
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lamina dura around tooth 35 and reformation of lamina dura 35 is seen
continual healing of the lesion and the sealer puff had been resorbed.
observed.

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S Age/Gender: 60 M
CC: “Tooth feels weak”, “Unable to chew”
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HCC: The patient reported high mobility in tooth 35 with sensitivity to both hot
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and cold stimuli. His periodontist had suggested extracting 35 and
replacing it with an implant, but the patient wanted a second opinion in
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hopes to retain 35.
DH: History of periodontitis, currently in maintenance stage
O I/O: 35M3, EPT (+, WNL)
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Rad: 35 Bone lossand loss of lamina dura (Fig 34A)
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A Dx: 35
Pulpal: Unknown

Periapical: Unknown
P Based on the history of chief complaint and clinical exam, it cannot be determined

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for certain if tooth 35 has irreversible pulpits. However, an obvious open margin
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was detected on the mesial of 35 crown, and crown removal for further diagnosis
was recommended to the patient. The patient refused as the symptoms are still

tolerable.

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