Page 23 - The Beauty and Sorrow in Endodontics-Chapter 3
P. 23

Case 35


            Primary periodontal lesion with endodontic involvement requires



            both endodontic and periodontal treatment.



            This case demonstrates incomplete healing due to limited patient


            cooperation.






                                                         Fig 35A

                                                         The  patient  complained  of  occasional  abscess
                                                         formation  since  his  hygiene  appointment  and
                                                                                                        #
                                                         reported that he has not been able to chew on  24
                                                         due to its mobility.




                                                         Fig 35B

                                                                 #
                                                         Tooth  24  presented  with  exceptional  anatomy
                                                         (three  roots),  grade  3  mobility,  and  an  apical
                                                         radiolucent lesion. Even though no caries or cracks
                                                                                    #
                                                         were  present  on  tooth  24,  pulp  vitality  test
                                                         revealed that it was in fact necrotic and a sinogram
                                                                                                  #
                                                         with a gutta percha cone verified tooth  24 as the
                                                           culprit for the abscess.


















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