15 October 2020
During our daily treatments we often face different situations where many disciplines of dentistry intertwine with each other, in some treatments we have the need for secondary treatments.
In this case what I am presenting to you as primary treatment is the endodontic treatment, while surgical and restorative treatments as secondary treatments.
The patient comes to our clinic with complaints in the lower right jaw, and to resolve this situation we performed a multidisciplinary approach to resolve the patient`s uncomfortable situation.
In this case the extraction of the lower right third molar was mandatory to enable distal marginal closure of the tooth.
As a start, we performed the endodontic treatment in one session, then the surgical removal of the third lower right molar was performed, and in the last session, the second lower premolar was restored.
Patient with pain in the lower right jaw.
There were many reasons:
Initial situation of the case
Pre endo build up
Root canal treatment in one visit
X-ray after root canal treatment
Surgical removal of lower right third molar
Removing the tooth
Distal build up with composit of tooth 47
Completion of the surgical part
Restoration of tooth 45 with composit
Completion of multidisciplinary treatmentEndodontic treatment of lower right second molar surgical removing of tooth lower right third molar composit restoration of lower right second premolar
Multidisciplinary approaches gives us full control of the various situations we have to deal with in our daily work, on the other hand these types of approaches make us more efficient and safer.
These situations need to be well plannned in advance and have a reasonable chronology.
Multidisciplinary approaches require knowledge and skills of the dentist, as well as cooperation from the patient, and when these conditions are met then success and long-term prognosis will not be lacking
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Chad M. Reader, DDS, Van T. Himel, DDS, Lisa P.Germain,DDS, and Michael M.Hoen, DDS
Effect of Three Obturation Techniques on the Filling of Lateral Canals and the Main Canal. Journal of Endodontics, August 1993
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Jay W.Fridman, DDS, MPH. The Prophylactic Extraction of Third Molars: A Public Health Hazard. American Journal of Public Health 2007 Vol 97.
Gary F.Bouloux, MD, BDS, MDSc, FRACDS, FRACDS(OMS), Martin B. Steed, DDS, Vincent J. Perciaccante, DDS. Complicationss of Third Molar Surgery. Oral Maxillofacial Surg Clin N Am 19 ( 2007 ) 117 – 128.