Page 50 - The Beauty and Sorrow in Endodontics (Chapter 4 - Part 2)

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since for the denture adjustment and was then told that 36, 37 was the reason
why her occlusion is off and needed to be extracted. When they told the
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dentist that they were not willing to do so, they were then informed that 46
now has a problem and needed to be extracted. The patient and her husband

were confused at the treatment plan and questioned why her teeth that have
never bothered her before all need to go.

2) Discussion
The patient and her husband were informed that there are no clinical

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concerns with 47 implant. In addition, 46 did not show any signs or symptoms
of root fracture or crack, so as long as she returns for regular follow-up so
treatment can be initiated when it needs to, she shouldn’t have to worry about
initiating treatment at this moment. The patient was informed she will need

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some more time to get used to her new occlusion with the fixed denture but 36,
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# 37, and 46 did not seem to affect her occlusion as much as was indicated, and
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the implant crown on 47 can be safely inserted.

5) Follow-up

1-month – The patient reported improvements in her symptoms. She has been

able to eat more and has better sleep quality now. She was weary of
the consent forms that she had to sign for the crown placement on

# 47 with her other dentist, which included their recommendation of
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extracting 46 so it does not infect 47 implant in the future. The
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author then informed that if 46 does develop a lesion, retreatment
or extraction can be discussed at that time. The patient was then
scheduled to return for follow-up in 6-months, 1-year, and 2-years.

1.5-years – The patient had missed two follow-up appointments, the author
called the patient and was notified that her husband had recently

passed away and she did not want to trouble her daughter-in-law to
bring her to appointments. She reported no discomfort during

function, thanked the team, and said she would return for follow-up

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