Mrs B was experiencing a slight discomfort and abscess from the upper right first molar (UR6) for over six months. Following clinical and radiographic examination, a diagnosis of a chronic periapical (around the root) abscess was made.
The treatment options of extraction versus root canal treatment with an investigation of the tooth for any cracks under the microscope were discussed. The predicted survival of root canal treatment is relatively high at around 80-90% over 10 years.
Once the root was obturated (filled) an indirect restoration (crown) was needed to help maintain the tooth in function and ensure the tooth remained asymptomatic with good coronal seal. The current evidence indicates that the outcome of Endodontic treatment is affected by the coronal seal.
The key to successful Endodontics is full consideration of the patient and an in depth understanding that Endodontics is not just about with white lines and dark shadows.