Introduction:
A 54-year old woman had visited our clinic complaining about swelling and pain in the lower left back tooth region. Patient is diabetic, she had a Amalgam restoration i.r.t 35, 37 & Metal crown i.r.t 36.
Clinical findings:
- Ca+, St+ deposits.
- Gingival abscess i.r.t 21,16, 17 and 36
- Old amalgam restorations i.r.t 35 and 37
- Mobility i.r.t 21 – grade-I .
- Dental caries i.r.t 16
- Dento-alveolar abscess i.r.t 36
- Metal crown i.r.t 36
- Missing teeth i.r.t 45, 46, 47 and 48.
Treatment plan:
- Oral prophylaxis.
- Curettage
- Abscess drainage i.r.t 36
- Extraction i.r.t 36.
- Socket preservation.
Treatment Procedure:
- Pre-operative photographs were taken.
- Curettage i.r.t 16, 17, 21and 22.
- Gingival abscess drainage i.r.t 17,16.
- Removal of metal crown i.r.t 36.
- Extraction of 36
- Removal of granulation tissue i.r.t 36
- Curettage i.r.t 36
- Placement of PRF and bone graft in the socket i.r.t 36 for socket preservation
- Suture i.r.t 36
- Post operative photographs were taken.
- Patient recalled after 7 days for suture removal.
Follow Up:
- Patient recalled after 7 days for suture removal.
- Regular 6 months follow up is advised.
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