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Large 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 -
From: Dr. Cecil Bergman
Sent: Monday, November 29, 2010 9:31 PM
Subject: [roots]

These x-rays and ct are of a young man 14.5 years old.
He fell at age 6.5 and the 2 teeth damaged were the upper central incisors.
He has been complaining of discomfort in the 22 area(sorry some of my x-rays
were loaded incorrectly),his dentist who was not the dentist who attended
to him until a year ago could not find anything wrong!

He presented to me with a large buccal swelling slightly below the gingival 
margin on tooth 22, which had not altered after a week of antibiotics.

None of the teeth responded to ethyl chloride.
The canal on 11 is almost obliterated,the 21 has internal resorption and 
the 22 has a perforation resorptive defect (see ct cuts 14,15)

My treatment recommendations are to fill 22 with MTA,21,MTA and 11 to do 
a regular root canal(gutta percha) before the canal completely obliterates.

Do rooters think that filling 22 solely with MTA is possible or should a 
flap be raised immediately or later. - Solly Bergman

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