Page 52 - The Beauty and Sorrow in Endodontics-Chapter 2

Fig 29P Fig 29Q

Incisal attrition were noted on Post-orthodontic treatment shows
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both 11 and 21 prior to the resorbed apex of tooth 11 with

second orthodontic treatment. apical radiolucency. It is highly

suspected that patient had sustained

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traumatic injury on 11 either from
parafunctional occlusion or bruxism.

1
+
S Age/Gender: 40 M
CC: “Swelling on my gum”

HCC: The patient reported swelling on the upper buccal gingiva that started a
few weeks ago. He remembered having previous swellings in the same

area that disappears after 4~5 days once the pus comes out. The patient

reported no history of trauma. In addition, he was set to leave the
country for work for the next few months, thus wanting treatment before

he leaves.
DH: Fixed orthodontics completed as a teenager. Invisalign completed a year

ago.
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O I/O (Fig 29A): Sinus tract at the muco-gingival junction of tooth 11with
suppuration upon palpation

# 11 Discoloured with craze lines, STP (+), APT (+), PD WNL

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