Page 33 - The Beauty and Sorrow in Endodontics-Chapter 3
P. 33

Case 38


            When faced with a possible endo-perio combined lesion, complete



            the root canal treatment first and reassess for the need for



            periodontal treatment






                                                            Fig 38A
                                                            The  patient  presented  to  the  clinic  asking  for

                                                                  #
                                                            tooth  46 to be extracted as it has been causing
                                                                                                  #
                                                            him  severe  pain  and  insomnia.  46  was
                                                            previously  root  canal  treated  with  inadequate
                                                            obturation  and  has  both  apical  and  furcal

                                                            radiolucency.










                                                            Fig 38B
                                                            # 46  retreatment  consultation  was  completed  a

                                                            year  ago,  but  patient  was  not  motivated  to
                                                            proceed with treatment as he was experiencing
                                                            minimal discomfort.












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