2. • Regd.no.-20452
• Name of patient: Sayan Adhikary
• Age: 11 years
• Sex: Male
• Place: Department of Pedodontics,GNIDSR.
3. The patient came to the out
patient department of
pedodontics, with a chief
complaint of pain and pus
discharge from anterior
region of upper jaw.
4. • The patient was physically healthy and had no
history of relevant medical complications.
• Patient gives history of trauma in upper front tooth
region of mouth 3 years before.
5. Intra-oral examination
• Intraoral examination revealed patient in mixed
dentition stage with an Angle's class I molar
relationship bilaterally present.
• Clinical examination showed :
Tooth discolouration i.r.t 11
Pus discharging sinus in periapical region of 11
7. IOPAR of 11 showing periapical radiolucency with open apex.
8. TREATMENT PLANNING
• Non surgical treatment of periapical radiolucency i.r.t 11
• Followed by root canal treatment and crown on 11
9. Access opened, bmp done upto 40
size # , temporization done by
ZOE.
After 1 week patient was recalled ,
canal was re-accessed, metapex
given in the canal and
temporization done by glass
ionomer cement.
Recalled after 1 ½ months
10. After 1 ½ months, IOPAR of 11 shows
decrease in size radiolucency. Patient
was further recalled after 1 ½ months.
11. After 3 months ,satisfactory decrease in
periapical radiolucency was evident.
12. Calcium hydroxide removed
from canal.
No calcific barrier formed at
apical region.
It was planned to obturate 11
with mineral trioxide aggregate
(MTA) followed by post and
core.
After 4 months, removal of calcium
hydroxide from canal was done