Page 23 - The Beauty and Sorrow in Endodontics-Chapter 4 - Part 1

prescribed Clindamycin tablets.

Appt 2 (1 week later): The patient reported no discomfort since the last
appointment. Rubber dam isolation. Cleaning and shaping completed.

NaOCl, 17% EDTA, and QMix used as disinfecting and irrigation solution.
Warm vertical compaction obturation (Fig 42E). Fiberposts and resin core

buildup completed for all three teeth (Fig 42F). The patient was then sent

back to the restoring dentist for placement of temporary crowns (Fig 42G).
Reinforced the importance of regular follow-up for assessment of the healing

and maintenance of those teeth.

3) Follow-up
The patient failed to return for the agreed upon follow-up appointment

and was unreachable via phone. The author contacted the restoring dentist

and was informed that permanent crowns were placed (Fig 42H) along with
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# 36 and 46 implants, but no information on the status of those teeth.

2-years – The patient returned and informed the author that he was under

long-term medical care in his hometown during this period and

thus was unable to come to his appointments. However, he said
he had been very pleased with the treatment result. There were no

sensitivity to percussion or palpation on all three teeth, and they
all had normal probing depths as well. The

porcelain-fused-zirconia crown on 32, however, was loose.
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Radiographic examination showed complete healing of the apical
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#
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lesions and reformation of lamina dura around 41, 31, and 32
(Fig 42I). Comparing the panoramic radiograph taken two years
ago versus this appointment also shows the amount of healing in

the lower anterior region (Fig 42J, 42K)

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4) Recement 32 Crown
After discussion with the patient and the restoring dentist, consent was
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obtained from both party for the author to remove 32 crown and recement

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