Page 44 - The Beauty and Sorrow in Endodontics (Chapter 4 - Part 2)
P. 44

Fig 50L                           Fig 50M                          Fig 50N

              The      patient      reported    Bone  loss  observed  around     The  vertical  bone  loss  at
                                                                    #
                                                               #
                                                           #
                                                      #
              completion  of  root  canal       teeth  44,  41,  31,  33, and    # 34D is the most severe. It is
                                                                                                 #
              treatments and bridges for the    # 34  due  to  the  incorrect    speculated  that  34  bears  a
              lower  anterior  teeth  thirty    placement  of  the  post  and    large  amount  of  occlusal
                                                                                               #
              years  ago  to  achieve  better   the occlusal forces over the     forces.  Tooth  46  presented
              tooth  alignment.  Radiographic   years.                           with  the  same  radiographic
              examination           revealed                                     appearance  likely  from  the
              inadequate obturation, but no                                      same etiology.

              apical lesion.





















              Fig 50O



                After assessment of the natural maxillary dentition, even though each tooth presented with

                varying conditions, with proper treatment, there was a chance that all the teeth could have

                been  retained.  In  a  70-year-old  patient,  one  should  consider  whether  such  aggressive   77
                treatment is truly beneficial to the patient.
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