Severe swelling and pain
This 40 year old male patient presented to us with severe swelling and pain. Any thoughts? - Marga
My thoughts are:
1) tooth number 11, 12 and 21 were involved previously. may be trauma. but
12 was partially vital then so the prev dentist didn't suspect
involvement. now that it is involved I suspect the 13 is also needs some
attention - Vipin
Hi Vipin, Yes, it is a brain teaser....:-)) - Marga
Crown appears to be leaking on central. Maybe apex is contaminated but I could be a bit confused. Guy
Marga, Is there an anatomic defect on the lingual, a deep lingual pit or lingual groove? Pulp tests on the lateral incisor? - Randy Hedrick
No anatomic defect Randy.
12 responded pos to cold test and EPT. - Marga
Interesting case Marga: I need all the clinicical findings on 12, 11 , 13 and the medical history. Those should include - vitality tests, mobility. Also tracing of the S. Tract is not clear. With those that you allready posted my thoughts are on a crack/endo problem with #12. - Thomas
Thomas, Medical history: non contributory Vitality tests: WNL, except for 11 . No mobility.- Marga
No mobility, but is the bridge retainer loose from the abuttment on the central incisor? - Randy
No - Marga
S. Tract traced where ? Exploratory
surgery on 12 is indicated. A crack suspected...- Thomas
Crown appears to be leaking on central.
Maybe apex is contaminated but I could be a bit confused. Guy
Guy W. Moorman, Jr. DDS
Guy, Stay tuned, to be continued................... Marga
This was an easy
thermafil removal. Initially I could not figure out what the canal configuration
was, but after finishing the C&S, I went back in with a precurved hand file,
and found a second POE.
Fiber post and build-up of composite. - Marga Ree, DDS, MSc
