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Swelling in D22 after six months - 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: Mihhail Botsinski
To: ROOTS
Sent: Friday, April 23, 2010 4:47 AM
Subject: [roots] SOS

62 years old man with swelling in d22 region. 6 months ago 
d22 was extracted, no problems associated with healing
wasn’t marked. 2 month ago was made partial denture for the 
upper jaw, no  problems according to this point too.
The dull pain became some days before and last night was the
worse one, when rapid swelling was occured. I was poked with 
probe into sinus tract and removed thin epithelial layer, 
large portion of pus came from pocket. Gp n 25 was placed in 
sinus tract until it moving was limited. After some pics, 
i was started with managment and was surpriced, when noticed, 
that periapical curette has been changed a direction to 
anterior region of cortical lamella. The alveoli was absolutely 
intact after incision, that give me a chance to predict that 
infection lays under periost of submucous layer. D 21 and 23 
without subjective complaints. Objectevely d21 post and crown 
little apical lesion. D23 caries. What can be a cause of this 
burst? What can we do for obvious diagnose?  - Mihhail Botsinski

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MTA retrofill

Resin core

BW importance

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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