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Swelling in D22 after six months - Courtesy ROOTS

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credited for the individual posts where they are -
From: Mihhail Botsinski
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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Silver point removal

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Confluent mesials

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Upper molar resorption

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AG BU ortho band

TF Files

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Broken bur

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Restorative prognosis

Tooth # 20 and #30

Apical third

3 canal premolar

Severe curvature

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Chamber floor

Zirconia crown

Dycal matrix

Cracked tooth

Tooth structure loss

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