35 year old healthy woman presented for evaluation and treatment of tooth #19. She reported a swelling and pain on biting. My evaluation confirmed slight swelling and percussion tenderness on tooth #19. No perio probings more than 4mm. Radiographically, periapical radiolucency on the mesial and distal root, and a thin dentin wall mesial to the post were noted. After discussing treatment options, the decision was made to proceed with root end surgery. This patient was then prescribed a coarse of Clindamycin 300mg tabs and Peridex rinse, she was also given an Rx Motrin 800 and Vicoden for post-operative pain to use in a staggerred fashion and was reappointed for surgery.
I apologize for dark pre-op and intra-op photographs.
Bone graft was placed into the surgical crypt prior to closure.
One year recall shows complete periapical healing, tooth #19 is asymptomatic and functional.