Acute periapical abscess and calcified canal.

A patient came to the office complaining of pain and inflammation of the gums in the upper region. On clinical examination, edema with a floating point was observed in the apical gingival region of tooth 11, in addition to positive palpation and percussion. Radiographic examination revealed total obliteration of the pulp chamber. It was decided then, as an urgent measure, to drain and maintain the drain until the patient underwent tomography exams and intraoral scanning to make an access guide.

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Periodontal Pathology

Periapical lesion without endodontic origin.

Patient sent for endodontic treatment of element 31 due to observation of periapical radiolucent image. On clinical examination, the tests revealed no different response in relation to adjacent teeth, positive in relation to the thermal test with gas and negative to percussion. Slight pain was reported in relation to the palpation test in the root region of tooth 31. On probing, periodontal pocket was revealed in the proximal regions. The presence of calculus was also observed. The pathology was diagnosed as of periodontal origin and the case was sent to the periodontist for treatment and orientation for possible endodontic treatment concomitant with periodontal.

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