Page 30 - The Beauty and Sorrow in Endodontics-Chapter 4 - Part 1

Fig 43S Fig 43T
3-years post-op – Healing of the 3-years post-op – Complete
#
apical lesion around 46. The patient reformation of lamina dura around
#
was pleased with the masticatory tooth 46.
function of the tooth as opposed to
the adjacent implant.

S Age/Gender: 60M

DH: Multiple bad experiences with implant surgery

CC: “I want a second opinion”
#
HCC: The patient reported 46 root canal treatment and crown was done several
months ago but was still bothering him. He went back to see the original
dentist and was told that it needed to be extracted and an implant placed.

He never went back. Several weeks ago, he noticed an abscess beside
# 46 that would disappear after he squeezed out the pus. Three days ago,

the abscess reappeared and the tooth became very mobile and he wanted

to see if the tooth 100% had to be removed at this point.
#
O I/O: Gingival abscess beside 46M
+
# 46 ACC, STP (++), APT (++), PD 8 mm (MB/ML), BOP
# 45 ACC, STP (+), APT (+), PD WNL, BOP
#
#
Rad: 46 Large periapical radiolucency around M root spreading to 45 with
#
signs of 46 M root resorption (Fig 43A)
#
46 RCT with untreated DL canal (Fig 43B)
#
A Dx: 46
Pulpal: Previously treated

Periapical: Chronic apical abscess

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