Page 22 - The Beauty and Sorrow in Endodontics-Chapter 3

S2 6 months later, the patient returned to the clinic with severe pain and agreed to
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have 35 crown removed for assessment.
+
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O2 I/O: 35 M3, STP (+), APT (+), EPT (-), PD 7 mm
Rad: 35 large MO caries close to pulp (Fig 34B)
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A2 Dx: 35
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Pulpal: Irreversible pulpitis
Periapical: Symptomatic apical periodontitis

P2 Discussed proposed treatment plan with the patient. Informed consent obtained to
proceed.

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1) 35 Root canal treatment
# 35 root canal treatment completed following the standard protocol for

cleaning, shaping, and obturation. Overfilled sealer can be seen in the

obturation radiograph (Fig 34C).

2) Follow-up
6-weeks – Healing of 35 apical lesion observed, tooth mobility has returned to
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normal, and the patient was able to now chew on the left side (Fig
34D).

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6-months – Reformation of lamina dura around tooth 35 and continual healing
of the lesion observed (Fig 34E).
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1-year – Complete reformation of lamina dura of 35 seen and the sealer puff
had been resorbed (Fig 34F).
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Note It is evident that symptoms related to the chief complaint from 35 originated from
the root canal system instead of periodontally.

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