Page 33 - The Beauty and Sorrow in Endodontics (Chapter 4 - Part 2)

(Fig 48G). The patient was urged to returned to his dentist for permanent

restoration once the pain disappears. The patient was also informed that crown

lengthening surgery may be required prior to crown placement.

2) Follow-up
3-weeks – The patient reported he had been asymptomatic for a while now, but

work has been busy so he hasn’t had the time to see his dentist yet.

6-weeks – The patient returned for 37 post and core. Radiographic examination
#
#
showed reduction in 37 apical lesion size (Fig 48H).
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10-weeks – Patient returned to his dentist for 37 crown lengthening surgery.
12-weeks – The dentist forwarded a post-op photo 2 weeks after crown

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lengthening surgery and confirmed that the crack on 37D had
terminated supragingivally (Fig 48I).

3-months – Complete healing of the apical lesion observed. A temporary crown

#
has been placed on 37 but concerns were raised regarding the post
location and depth (possible perforation) (Fig 48J).

4-months – The dentist forwarded the crown cementation radiograph and
reported that the patient was happy with the treatment result (Fig

48K).
#
1-year – The patient reported tooth 37 has been asymptomatic since root canal
treatment completion and was appreciative of all the efforts the team

has put in to help him retain the tooth. Radiographic examination
showed complete healing of the lesion (Fig 48L, 48M). The general

dentist concurs that some cracked teeth can be retained and there is

no need to rush into extraction, and she will continue to follow-up
with the case for self-development in order to offer and provide her

patients with the best treatments possible.

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