A Painful Dental Emergency Dilemma

Terry Pannkuk, DDS, MScD Diagnosis

A patient with an irreversible pulpitis leaving town the next day and no time in your schedule: What do you do?

Patient: 77 year-old male with a history of high cholesterol

Chief Complaint: Lower left tooth pain for the last 2 days

Dental History: The patient has had numerous large dental fillings and crowns through his mouth. The lower left posterior teeth all have crowns with the suspected lower left first molar having had a porcelain-fused-to-metal crown placed within the last 5 years. There had been no pain prior to 2 days of the examination. The patient reported that the pain had been severe the previous night and was at a 4/10 level at the time of examination.

Sign In

Subscribe to View the Case

There are 6 images included with this case summary.


Back to All Cases

Join The Discussion

0 comments

Commenting Guidelines Please make scholarly cited references or expert opinions suitable for publication. The comments can either be "pro" or "con" with references to the treatment philosophy. We encourage objectivity and detailed demonstration of knowledge/literature.
You must log in or create a free account to post a comment.

Related Cases

Hidden Missed Canal Diagnosis, Access, Cleaning and Shaping, Complications: Advanced Management, Missed Canals, Retreatment Strategies
Endodontic Radiography Technique: Video Instructional Instructional, Clinical Endodontic Technique Instruction, Diagnosis
An Extremely Challenging Root Anomaly: Radix Entomolaris Instructional, Clinical Endodontic Technique Instruction, Diagnosis, Complications: Advanced Management