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- pt E. Marti, 42f, insurance CSS - tooth 36, deep caries, prev filling '19 - pain on cold, no percussion tenderness - X-ray: periapical shadow, pulp necrosis - plan: RCT + full crown, 2 sessions - pre-auth needed, codes C.4230 + C.5310
Insurance Assessment — Patient Marti, E.
Patient presents with deep caries at tooth 36 with a previous composite restoration (2019). Clinical exam reveals sensitivity to cold stimulus without percussion tenderness…
Radiographic findings confirm a periapical radiolucency consistent with pulpal involvement. Recommended treatment consists of endodontic therapy followed by prosthetic restoration…
Billing codes: C.4230, C.5310.
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Patient presents with deep caries at tooth 36 and sensitivity to cold. Previous composite restoration placed in 2019. No percussion tenderness reported. Clinical history otherwise unremarkable.
Intraoral examination reveals a deep carious lesion at tooth 36. Radiographic imaging confirms a periapical radiolucency consistent with pulpal necrosis. No evidence of root fracture or extensive bone loss.
Recommended two-stage treatment: endodontic therapy followed by prosthetic restoration with a full-coverage crown. The patient was informed of risks, benefits, and alternatives.
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