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Delayed Restoration of an Endodontically Treated Tooth

May 7, 2018

Patients will often fail to follow up with a proper restoration if not immediately placed or planned

Patient: 42 years old male. Medical history non contributory

Chief Complaint: Asymptomatic. (The general dentist found decay on the distal aspect of tooth #16 on a regular check up and diagnosed the pulp as being necrotic)

Dental History: dentition relatively stable with restorations in multiple areas. There was no history of pain associated with the referred tooth (#16). The existing amalgam filling on the referred tooth was reported to be older than 20 years and had been placed by his former dentist.

Active Nonsurgical Decompression Technique for the Healing of Large Periapical Cystic Lesions

Oct 8, 2017

Sometimes, a periapical lesion can reach large dimensions jeopardizing the retention of the tooth itself and resulting in aggressive surgical treatment options with a huge impact in the quality of life of the patients

Patient: 35 year-old female, medical history noncontributory

Chief Complaint: Asymptomatic

Dental History: A 35 year old female patient was referred for evaluation and possible treatment of her right first mandibular molar (Tooth #30) after the accidental discovery of a large periapical lesion associated with her previously root canal treated tooth. The initial treatment was performed 10 years prior to the date of consultation with the author. The patient mentioned that she had bruxism and was wearing a soft mouth guard during the night.

Significant Findings (Tooth #30): The periodontal evaluation was within normal limits. Radiographic evaluation revealed large periapical radiolucency. CBCT evaluation revealed the magnitude of the periapical lesion in all 3 dimensions. No paresthesia was present.