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8 1/2 year CBCT Recall Comparing Two Types of Endodontic Treatment

Terry Pannkuk, DDS, MScDInstructional, Fractured Roots, Recall Observations, All by Date


Clinical microphoto showing the small occlusal access outline of the first molar and the full gold crown on the second molar (2014)

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Patient: 81 year-old male with atrial fibrillation, heart valve disease, and chronic lymphocytic leukemia

Chief Complaint: Biting sensitivity (#31)

Dental History: History of an amalgam restoration (#31). Moderate pain to biting developed 3 days prior to the date of examination localized to tooth #31. The adjacent first molar had been treated with endodontic therapy and unknown number of years earlier and restored with a crown having a restored occlusal access.

Significant Findings:

  1. Tooth #31: Moderate percussion sensitivity, 6mm sulcular defect at the mid-distal area, negative response to cold thermal stimulation, and a cracked distobuccal cusp noted upon transillumination with a fiberoptic light. The radiographic findings included Class 2 distal caries and pulp chamber calcification.

  2. Tooth #30: Class 1 furcation, slight gingival recession and bleeding upon probing. Radiographic findings included a previous endodontic filling treated slightly short in each root and a diffuse moderate sized periapical radiolucency about the mesial root. All other findings were within normal limits

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