Page 41 - The Beauty and Sorrow in Endodontics-Chapter 3

(Fig 38J) and fiberpost with resin core completed. Final radiograph shows

white sealer puffs at the exit of each canal as a sign of proper fill (Fig 38K).

Properly sealed lateral canals in the middle of the mesial root can also be
seen (Fig 38L).

Rx: Clindamycin 300mg TID for 7 days
2) Follow-up

1-month – The patient reported no swelling or discomfort and the referring

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dentist had placed a crown on tooth 46 and updated a bitewing
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(Fig 38M). The overhang on 45D had not been removed.
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1.5-years – Near complete healing of the apical lesion around tooth 46
observed, with an increase in the alveolar bone height around the

tooth (Fig 38N). This is a sign that the lesion was strictly of
endodontic origin. Intraoral examination revealed normal probing

depths and no discomfort to percussion and palpation.

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2-years – Complete healing of the apical and furcal lesion around tooth 46
observed along with reformation of its lamina dura (Fig 38O).

Multiple lateral canals can be seen on the mesial root towards the
furcation area (Fig 38P).

Note In this case, healing was not compromised by the patient’s age or the long

duration of infection. However, if intervention was delayed, in order to retain
the tooth, the patient may have needed more than just a root canal retreatment.

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