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Endo Case2

A 17-year-old female presented with intermittent pain in her upper front region. She had a history of mild pain and occasional swelling after a root canal treatment on tooth number 22, which had extruded gutta percha approximately 4 mm and a large periapical lesion extending to teeth numbers 21 and 23. The treatment procedure involved local anesthesia, accessing and cleaning the root canal, removing the extruded gutta percha, enlarging the apical diameter, irrigation, temporary filling, and follow up drainage and filling sessions over 3 years, resulting in resolution of the periapical lesion.

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Yzsa Geal Inal
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26 views

Endo Case2

A 17-year-old female presented with intermittent pain in her upper front region. She had a history of mild pain and occasional swelling after a root canal treatment on tooth number 22, which had extruded gutta percha approximately 4 mm and a large periapical lesion extending to teeth numbers 21 and 23. The treatment procedure involved local anesthesia, accessing and cleaning the root canal, removing the extruded gutta percha, enlarging the apical diameter, irrigation, temporary filling, and follow up drainage and filling sessions over 3 years, resulting in resolution of the periapical lesion.

Uploaded by

Yzsa Geal Inal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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ANTERIOR TOOTH WITH A LARGE

PERIAPICAL LESION AND


EXTRUDED GUTA PERCHA
Baliling, Castillo, Inal,
Manuales, Medalla, Moldez
CASE

17-year-old
female
CC: intermittent pain in
the upper front region
history of mild pain and
occasional swelling
CASE

root canal treatment,


tooth number 22
extruded gutta percha (4 mm)
large periapical lesion
(tooth number 22 region)
extended to 21 and 23 (vital)
TREATMENT PROCEDURE
Local Anesthesia applied
access cavity opened
gutta percha in coronal part
was removed
gutta percha in middle was
removed
old canal filling was removed copious irrigation was
performed
extruded part of gutta percha
was removed
apical diameter prepared
copious irrigation between files
root canal preparation
serous exudate drainage
DEFORMED/BROKEN GUTTA PERCHA GUTTA PERCHA REMOVAL
TREATMENT PROCEDURE
final irrigation
temporary filling
drainage (3 sessions)
obturation
follow ups
POST OPERATIVE RADIOGRAPH 1 MONTH POSTOP
3 MOS POSTOP 6 MOS POSTOP
1 YEAR POSTOP 2 YEARS POSTOP
3 YEARS POSTOP

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