Right Diagnosis is crucial.

"Nip the evil in the bud" This is so true for today's case.25years/female pt was referred to my clinic .She was 7 month pregnant. C/C Pt had extra orally drainiing sinius tract which was recurrent H/O.1 Asssuming it to be some skin lesion,they consulted skin specialist who advised some oinments and referred her to surgeon. 2 Surgeon diagnosed it to be sebaceous cyst and excised it last month.It recurred. 3As pt didnt have pain, she never visited dentist. O/E BD roots in 36 region were the culprit . Adv:Did extraction with approval from gynaecoligist.

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Dx: - remaining root - necrotic pulp with apical abscess Tx: extraction Fistula will heal within weeks Kindly Reinforce oral hygiene instructions

Thank you doctor
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BEAUTIFUL ILLUSTRATION... NICE. UPDATE...

Thank you doctor
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As patients is in her third trimester so there is need for extra care before coming to any conclusion but in this condition if extraction done then it might be a risky one as LA & post extraction complications can arise due lack of good hygiene ( specially pregnant patients) so if it is possible to delay n as there is no pain so can be delayed under regular monitoring

Doc rest of all her teeth r good.Good oral hygiene,it was her phobia of dentist that she layed extraction.ling standing Root Stumps.
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