Page 51 - The Beauty and Sorrow in Endodontics (Chapter 4 - Part 2)

someday.

4-years – The patient reported no discomfort during opening, closing, or eating

anymore. A panoramic radiograph (Fig 50P) along with the
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periapicals of 47, 46 (Fig 50Q) and 36, 37 (Fig 50R) taken –
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There are no evidence of pulpal degeneration or apical radiolucent
lesions around those teeth even after 4 years; There was no need for
endodontic treatment or extraction and implant replacement. The

author then completed full mouth scaling for the patient (she
maintained good oral hygiene, the author discovered little to no food

debris or calculus). Gingival recession can be seen on the lower
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anterior bridgework that was completed for esthetic reasons 30
years ago (Fig 50S) but overall her gingiva appears to be pink and
healthy. The discoloured exposed root surfaces on the lower

posterior teeth may be carious lesions and are more concerning (Fig

50T/a, 50T/b). It was suggested that the patient uses high fluoridated
3
toothpaste and Waterpik to aid in maintaining good oral hygiene. It
is especially important to regularly use Waterpik with mouthrinse to
clean under the maxillary implant-supported fixed complete denture

(Fig 50U).

Note 1 Examples of different types of pain:
a. Sensitivity to hot or cold stimuli;

b. Dull aches;
c. Throbbing pain;

d. Pain on biting, etc.

Timing of the pain:
a. Before bed;

b. Upon waking up;
c. Spontaneous the whole day;

d. Only when eating, etc.
2 These are the radiographs taken at the consultation appointment.

3 See “Case 42”

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