Page 30 - The Beauty and Sorrow in Endodontics-Chapter 3

Fig 37E
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1-year post-op – Healing of the apical lesion around 37
observed. The patient was happy with the function of
the new bridge. However, gingival inflammation and
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bleeding were observed around both 37 and 38. It was
therefore recommended that the bridge be replaced
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with individual crowns for 37, 38 along with an implant
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to replace 36. The patient rejected this treatment
proposal due to financial concerns.

Fig 37F

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3-years post-op – New lesions formed around teeth 37
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and 38 with questionable prognosis even if future
treatments are completed.

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S Age/Gender: 20 F
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CC: Referred by her periodontist for evaluation of 37. The periodontist had
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treatment planned to amputate the distolingual (DL) root of 37 during
periodontal surgery if the tooth is to be retained.

HCC: The patient complained of bad smell and swollen gingiva on the lower
left posterior. She reported that a chunk of filling material broke off

while she was eating several weeks ago, she did not seek dental care at
that time since it was not sensitive and did not bother her. She reported

that the odour is still present even with frequent brushing and mouth
rinses.

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O I/O: 37 DL PD 10mm, crack lines visible on the DL crown structure
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38 DB PD 7mm
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Rad: 37 periapical radiolucency and furcal radiolucency (Fig 37A)

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