Page 38 - The Beauty and Sorrow in Endodontics-Chapter 3
P. 38

Fig 38P

                                                   2-years post-op – Multiple lateral canals can be seen on

                                                   the mesial root towards the furcation area, if intervention
                                                   was delayed, in order to retain the tooth, the patient may
                                                   have needed more than just a root canal retreatment.









            S       Age/Gender: 70M

                    MH: Hypertension, Hypercholesterolemia, Type II Diabetes; all controlled with
                    medication

                                                                  #
                    CC: Referred by dentist for evaluation of  46
                    HCC: The patient complained of swelling on the lower right posterior. He had

                            not been able to eat or sleep for days. He wished to extract the tooth this
                            day.

            O       E/O: Right facial swelling hot to the touch

                                                      #
                    I/O: Gingival swelling beside  46
                         #
                            46 M2, STP (++)
                    Rad:

                         # 45 Previously root canal treated, DO amalgam restoration with overhang,
                    D bone loss

                         # 46 Previously root canal treated with inadequate obturation, periapical and
                              furcal radiolucency (Fig 38A)

                        #
            A       Dx:  46
                    Pulpal:Previously treated

                    Periapical: Chronic apical abscess

                          Cellulitis


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