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.