Objective: The AAE’s Worth Sharing Instagram feature is focused on connecting patients and general dentists with the endodontic profession. These cases are intended to show who Endodontists are, and what can they do for patients using the power of social media. When writing up your case, please keep the tone of the post with this audience in mind.
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Patient states that "Nothing bothers me, but I have a pimple on my gums that won't go away." She was referred to my office for endodontic treatment on #25. Teeth #23 thru #27 all were WNL to cold and EPT. 13mm x 6mm PARL encompassing the apices of #28-#25 visualized on CBCT images. Tracing of the sinus tract with a 30.04 GP point lead to the apex of #28. Prognosis given for retx of #28 was unfavorable. Pt elected to have her tooth ext. Pt referred to OS for ext of #28.
One year recall -- Pt asymptomatic and functional. Sinus tract no longer present. 2 PAs, PARL has healed. Apical tissues of #22-27 WNL. Cold and EPT WNL for #22-27. NV w/ GD for continued dental treatment as indicated.
DX: Previously Treated with Chronic apical abscess. Prognosis – Poor.
John Smith DDS, MS
Board Certified Endodontist