Page 27 - The Beauty and Sorrow in Endodontics-Chapter 3

Fig 36E Fig 36F
1-year post-op – Complete healing of The patient was very satisfied with the
#
# 37 apical lesion and reformation of its treatment result of tooth 37 and
lamina dura around both roots therefore had agreed to the removal of
observed. the ill-fitting 34-x-36 bridge for

comprehensive treatment.

S Age/Gender: 50 M
+
CC: “Loose tooth”

HCC: The patient complained of sensitivity to biting and to both hot and cold

stimuli, as well as increased tooth mobility in the lower left posterior.
#
#
O I/O: 34, 36 Cold (+, WNL), EPT (+, WNL), PD 3-5mm, open margin around
# 34-x- 36 bridge
#
#
+
37 Cold (-), EPT (-), PD 5 mm, M2, M tipped
#
#
Rad: 34-x- 36 bridge ill-fitted (Fig 36A)
# 37 pin-retained large composite restoration with periapical radiolucency
#
A Dx: 37
Pulpal: Necrosis
Periapical: Symptomatic apical periodontitis

Etiology: Endodontic origin (confirmed by post-op healing)

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

#
1) 37 Root canal treatment
25