Management of impacted tooth in approximation to mandibular canal
Chief complaint of severe pain irt left lower back tooth region since 3 days Chief Complaints A 26 yrs old male reported with chief complaint of severe pain in left lower jaw region since 3 days History Pain starts of its own, severe, sharp shooting radiates to head region increases during night and on eating and relieves with painkillers Vitals WNL Physical Examination Local examination revealed impacted carious 38 Investigations Blood inv - NAD. RVG reveals tooth in approximation to mandibular canal with divergent mandibular canal Diagnosis Chronic irreversible pulpitis irt impacted 38 in approximation to mandibular canal. Management Patient apprised of complication of lip paresthesia and consent taken. Surgical removal of tooth under local anesthesia with preservation of mandibular canal.
Well done Yes extraction is only choice for impacted tooth Present tooth shows cavity as well
Cases that would interest you
- Login to View the image
root canal treatment #16. Dx: Asymptomatic Irreversible Pulpitis with Normal Apical Tissue. Clinically: 19 year old male px, has no relevant medical hx. presented with Chronic Hyperplastic Pulpitis. RCT was done and the patient is referred for final restoration.
Dr. Anas Bahammam21 Likes26 Answers - Login to View the image
60 year-old patient, diabetic and hypertensive, complaining of pus discharge , sinus tract was found intraorally related to #35, RG: periapical RL related to #35 Dx: #35 necrotic pulp with chronic abscess #34 +#33 irreversible pulpitis with asymptomatic apical periodontitis Tx: RCT (done) for all, Old fixed prosthesis used temporarily, for crowning later on ..
Dr. Sara Aldosary22 Likes18 Answers - Login to View the image
patient is having pain since 1 week..antibiotics and NSAIDs given..yet no improvement per patient..patient is not willing for RCT until pain subsides..looks like involvement of furcation area but clinically no pocket is there..what could be the possible cause and treatment to save tooth?? plz suggest..
Dr. Mukesh Nayar1 Like24 Answers - Login to View the image
Young male c/o swelling left mandibular region Xray Usg are normal ? what do u think
Dr. Nadeem1 Like16 Answers - Login to View the image
An interesting case A 63yr old female... Hb 11.8 Wbc 5600 N 60 L 32 E 4 M 2 B 0 LFT KFT are WNL... C reactive protein is wnl.. Height 5.1ft Weight 45kg Appetite good but fear of eating as it is painful if slightly spicy.. Sleep poor.. Systemic NAD Having oral thrush since about last 2 years.. Treated with candid mouthpaint, multivitamins , analgesics, fluconazole pulse therapy, betadine gargles from various practitioners... but not getting results... it is recurring in a week and patient becomes restless and coping with anxiety... feels death will get rid of it at last... She has no any comorbidity.. no htn, no dm Hiv, vdrl hbsag is non reactive... No history of any major illness in last 5 yrs except Jaundice 10yrs ago... No history of any steroid intake at all... Non tobacco chewer but pawn chewer.. since last 25 yrs and stopped chewing pawn since abt 6 months.. But dental and oral hygiene is poor... No any lymphadenitis... No any dysphagia or laryngitis pharyngitis... What nxt should be done...?? Thank you..... No signs of gingivitis or pulpitis.. as if now..
Dr. Sushant Revadekar3 Likes16 Answers
5 Likes