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Buccal swelling - Courtesy ROOTS

The opinions and photographs within this web page are not ours. Authors have been
credited for the individual posts where they are - www.rxroots.com
From: Terry Pannkuk
To: ROOTS
Sent: Friday, June 18, 2010 6:44 AM
Subject: [roots] Puzzle Case: Buccal Swelling

This 79 year old male presented with buccal soft swelling of the loose 
alveolar mucosa opposite the first and second left bicuspids.  We was not 
in pain, no percussion sensitivity with any of the teeth in the area.
Class 2 D caries, some pulp chamber calcification (looks like a near 
exposure).  Questionable EPT on all teeth in the area although he thought 
he felt it at 60 on the first bicuspid.   The left mandibular canine
was the same, but the mandibular left lateral incisor seemed to feel the 
EPT at 40.    Class 1 mobility both bicuspids with some bleeding upon 
probing at the MB line angle of the second bicuspid.  Mild periodontitis
with some generalized 4-5 pockets. Any more questions? Differential Dx?  
Treatment Plan? - Terry



Might be helpful to see the photo of this soft tissue alveolar mucosa 
swelling after we now saw the hard tissues cbCT. J Any other diseases 
and any drugs taken for them, if any ?  - Valeri

I erroneously said left side, but it was right side.    I didnít get a 
photo of the swelling but it looked like your garden variety buccal 
swelling that you would expect with a localized acute endo abscess.

He had a history of thyroid cancer 40 years ago but has been in 
remission for decades.

He said his wife gives him stuff but he doesnít know what it is. J  He 
also had a history of prostate treatment but was later found that he 
didnít really have prostate disease; he was apparently given radiation 
for prostate disease that he didnítí have.  - Terry

Protaper flaring

6 yr old Empress

Cvek pulpotomy

Middle mesial

Endo misdiagnosis

MTA retrofill

Resin core

BW importance

Bicuspid tooth

Necrotic #8 treatment

Finding MB2 / MB3

Deep in a canal

Broken file retrieval

Molar cases

Pushed over apex

MB2 and palatal canal

Long lower third

Veneer cases

CT Implant surgury

Weird Anatomy

Apical trifurcation

Canal and Ultrasonics

Cotton stuffed chamber

Pulp floor sandblasting

Silver point removal

Difficult acute curve

Marked swelling

5 canaled premolar

Sealer overextension

Complex anatomy

Secondary caries

Zygomatic arch

Confluent mesials

LL 1st molar (#19)

Shaping vs Cleaning

First bicuspid

In Vivo mesial view

Inaccesible canals

Premolar 45

Ortho and implant

Radioluscency

Lateral incisor

Obturation

Churning irrigant

Cold lateral

Tipped to lingual

Acute pulpitis images

Middle distal canal

Silver point

Crown preparation

Epiphany healing

Weird anatomy

Dual Xenon

Looking for MB2

Upper molar resorption

Acute apical abcess

Finding MB2

Gingival inflammation

Irreversible pulpitis

AG BU ortho band

TF Files

using TF files

Broken bur

Warm technique

Restorative prognosis

Tooth # 20 and #30

Apical third

3 canal premolar

Severe curvature

Interesting anatomy

Chamber floor

Zirconia crown

Dycal matrix

Cracked tooth

Tooth structure loss

Multiplanar curves