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1. Advanced Endodontic
Cases

2. Case 1
• A 35-year-old male patient presents with spontaneous pain in the lower right
jaw. The pain lingers after exposure to cold drinks and wakes him up at night.
The tooth is tender to percussion but not mobile.
• State your most likely pulpal diagnosis and periapical diagnosis.
• What further information would you like?
• What is your management?
• Prognosis?
Cold test +++Ve
EPT +++Ve (3)
Percussion +Ve
Palpation -Ve

4. Case 2
• A 27-year-old female presents with a painless swelling on the upper front
gum that has persisted for the past two weeks. She reports a history of
trauma to the area several years ago but does not recall any recent
symptoms.
• State your most likely pulpal diagnosis and periapical diagnosis.
• What further information would you like?
• what is your management?
• Prognosis?
Cold test -Ve
EPT -Ve (64)
Percussion -Ve
Palpation -Ve

5. Case 3
• A 16-year-old male presents with occasional discomfort in the upper right
front tooth (#22). The patient has no history of trauma. The tooth shows no
response to thermal or electric pulp tests. There is no mobility or tenderness
to percussion.
• State your most likely pulpal diagnosis and periapical diagnosis.
• What further information would you like?
• what is your management?
• Prognosis?
Cold test -Ve
EPT -Ve (64)
Percussion -Ve
Palpation -Ve

8. Case 4
• A 45-year-old female presents with intermittent pain in the upper left central
incisor (tooth 11) that occurs when biting. The tooth has a history of trauma
over 20 years ago. There is no sinus tract or swelling.
• State your most likely pulpal diagnosis and periapical diagnosis.
• What further information would you like?
• what is your management?
• Prognosis?
Cold test -Ve
EPT -Ve (64)
Percussion +Ve
Palpation -Ve

9. Thank you