Page 28 - The Beauty and Sorrow in Endodontics-Chapter 3

A cavity test with no anesthetics was performed to confirm the diagnosis

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of pulpal necrosis. 37 root canal treatment was completed under standard
protocol. Post-obturation radiograph showed a properly obturated complex root
canal system with sealer puffs (Fig 36B).

2) Possible 37 periodontal surgery pending on healing after root canal
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treatment

3) Follow-up

6-weeks – Radiographic examination revealed signs of healing around the
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apices of 37 (Fig 36C, 36D). Clinical exam revealed no mobility on
# 37 and the probing depths have reduced to within 3mm. The patient
reported no discomfort. It was then recommended to the patient to

proceed with post, core, and crown on 37 as soon as possible.
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Removal of 34-x- 36 bridge for assessment and proper treatment,
as well as returning for regular recalls was also recommended.

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1-year – Complete healing and intact lamina dura observed around 37 (Fig
36E). The patient was happy with the treatment result and gladly

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accepted the treatment to replace 34-x- 36 bridge (Fig 36F).
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Note Since 37 apical lesion has healed and lamina dura reformed after only root canal
treatment (no periodontal surgery), this confirmed that the periapical radiolucency

was of endodontic origin and had no periodontal involvement at all.

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