Page 38 - The Beauty and Sorrow in Endodontics (Chapter 4 - Part 2)

Fig 49R Fig 49S
2-years after crown placement – Some 5-years post-op – No apical abnormality
radiolucency observed at 36 furcation on the radiograph; Large furcal
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area radiolucency observed. The patient
reported he had neglected keeping up
with his oral hygiene.

+
S Age/Gender: 50 M
CC: “I want to save the tooth”
HCC: The patient reported sensitivity to sweet and cold on the lower left posterior,

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his family dentist had informed him of recurrent caries on 36 and
proceeded to restore it for him, which had helped with the sensitivity for a
while. However, starting 2-3 weeks ago, he has been experiencing

throbbing pain at night which became spontaneous pain that’s only relieved
with ice chips about a week ago. He returned to his dentist and was told

that the tooth may not be restorable anymore and had recommended
#
extraction of 36 with implant replacement. The patient expressed a strong
desire to keep the tooth at all cost and was thus referred here for

consultation.
O E/O: Sensitivity to palpation of left TMJ and muscles of mastication

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I/O: 36 STP (+), APT (+), DL PD 5mm
Rad (Fig 49A, 49B):

Osseous: NSF

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