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Endo tips    Better Endo    Endo abstracts    Endo discussions

 Severe swelling and pain
The opinions within this web page are not ours.Authors have been credited
for the individual posts where they are. - photographs courtesy: Barrington

This 40 year old male patient presented to us with severe swelling and pain. 
Any thoughts? - Marga

My thoughts are: 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, 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
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