A 62 year old femaleĀ  was referred by her dentist for investigation of symptomatic lower left second molar which had tenderness and swelling associated with a periapical lesion.

Root canal treatment was completed with a passive post retained composite core build up and the patient was referred back to have a cast restoration which we reviewed after six months. The review showed complete resolution of the lesion apically and the tooth was asymptomatic and functional.

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