Page 40 - The Beauty and Sorrow in Endodontics-Chapter 4 - Part 1

# 16 Multiple cervical abrasions were observed, likely due to

incorrect hygiene techniques (Fig 44R). It was unclear why the

previous dentist had decided to place an implant to replace tooth
# 15 with the limited space available (Fig 44S). The radiograph

showed healing of most of the original apical lesion around 16
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except a small radiolucency that remained around the mesiobuccal

root (Fig 44T). The extruded sealer continues to be absorbed by

the body, while the sealer puff that remained at the exits of each
canal signifies the intact apical seal (Fig 44U).

#
3-years –The panoramic radiograph updated (Fig 44V) showed a healed 16
apical lesion when compared to the one taken prior to treatment

(Fig 44W). However, tooth 28 has supererupted due to the lack of
#
opposing contact. This may have contributed to the recurrent

#
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caries on 27 and radiolucency around its apex. Extraction of 28
was recommended. The patient continues to have issues keeping
#
up oral hygiene around 15 implant. Do you have any
recommendations for a case like this?

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