Page 43 - The Beauty and Sorrow in Endodontics-Chapter 3
P. 43

Fig 39E                                         Fig 39F
                 The referring dentist had completed a           A  new  periapical  radiograph  taken  at
                 sinogram  with  gutta  percha  cone             another office led to suspicion that the
                 through  the  sinus  tract  opening.  The       lesion is of endo-perio combined origin.

                 apical  radiolucency  encompassed  the
                 entirety of the roots.




















                Fig 39G                                       Fig 39H
                An  off-angle  radiograph  revealed  two      The patient presented with poor oral hygiene at
                separate distal roots.                        the consultation appointment.

                                                                 Fig 39I

                                                                 2  weeks  after  the  initial  consultation,  the
                                                                 patient presented to the office for endodontic
                                                                                       #
                                                                 treatment  of  tooth  46.  The  patient  had
                                                                 completed  deep  cleaning  sessions  with  the
                                                                 hygienist  and  oral  hygiene  instructions  were
                                                                 given; he reported feeling exponentially better

                                                                 now that he has better oral hygiene.

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