Patient complain of pain and swelling in upper right back region of jaw since 4 days intraoral examination reveal there is sinus irt 6 . On iopa reading i feel there is internal resorption in palatal root (correct me if i m wrong) If there is resorption should i go for endo or extarction
No resorption.. There is periapical abscess.. Go for rct..
There's no resorption...... go for endo
Rctremains the treatment of choice of internalroot resorption as it removes the granulation tissue and blood supply of the clastic cells.
trace the extension of periapical lesion,it is extending to the furcation suggesting buccal or palatal cortical bone destruction giving the appearance You can also see that the floor is intact but the radiolucency extends further coronally. adv cbct for confirmation
Place a gp cone in the sinus and take an iopa.if it is going to apex u can go for rct for sure.if it is goin in midl suspect a #.and rule out if it is vertical # or horrizntal.if vertical # go for xtrtcn.if horrizntal go ahead with rct with fibr post....if the pt has come in a luxury car u can go for an implnt too:-)lol
Periapical abscess Rct Crown
Adv cbct if nt sure as such their is no resorption yes rct is rx option for it
Periapical lesion dere.. Go for rct doc..
Just make a good access opening ! If it subsides you are right , if it persists we are right :)
Dr RCT is the only treatment since tooth is firm and age of the patient also matter ... should not go for extraction ... RCT should be done under Antibiotic coverage TAB ORNICEF 200MG BD TAB ACECLO PLUS BD SOS
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patient reported with slight tenderness in upper front tooth region. on clinical examination there was t.o.p on 11 n 12. iopa examination revealed large radiucency over 11,12 suggesting of of periapical lesion. multiple siitng root canal was done with calcium hydroxide dressing and triple antibiotic paste dressing for 21 days. obturation was done using cold lateral compaction method with AH plus sealer. composite restoration was done. follow up after 14 months revealed good amount of bone formation suggesting of periapic healing. patience was the key in this case. intracanal medicaments in the form of calcium hydroxide and TAP was important. cheers until next time
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Plz give ur suggestions... Pts chief complain is swelling... No such pain in that area.. no such tender was felt in tooth 21 ,11 .... Pt gives a history of tooth brush trauma about 2 months back... All haemotological findings are normal...iopa shows complete root resorption of 21..
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7 yes female ? Cyst mild pain no other complaints suggest diagnosis and treatment @Shivraj Agarwal
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