Page 45 - The Beauty and Sorrow in Endodontics (Chapter 4 - Part 2)

Fig 50P

This case showed a lack of doctor-patient communication and informed consent. The
treating dentist should not have decided “the best course of action” without consulting
#
the patient and the unexpected 47 implant placement likely resulted in emotional
trauma and difficulty adjusting to the new occlusion. Even when the patient developed
#
#
#
temporomandibular joint pain, was the recommendation to extract 36, 37 and 46
really for the patient’s benefit?

Fig 50Q Fig 50R

#
No evidence of disease process or # 36 and 37 exhibited no radiolucency
#
radiolucent lesion around 46 (compared around their apices and no evidence of
to Fig 50B); 4 years ago, the decision to pulpal degeneration during this 4-year

not endodontically treat 46 was the period (compared to Fig 50C). There was
#
correct choice. no need to remove those teeth and
replace them with implants.

78