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Infected teeth treated successfully with apicectomy & implants

22/3/2014

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A young man reported to our dental clinic complaining of severe pain in his upper front teeth. He gave a history of having undergone root canal treatment elsewhere for his upper front teeth followed by crowns.

A digital radiography revealed lesions indicating infection at the apex of both teeth, more severe on the right tooth than the left with external root resorption due to insufficient filling in the apical third of the root.

Maxillofacial Surgeon and Implantologist Dr. S. M. Balaji expertly planned for replacing the infected tooth with implants. The infected upper right central incisor was extracted. Infection in the bone was also completely removed and dental implant was placed with good stability and retention. Adjacent root canal treated tooth with infection was treated with apicectomy.

A digital radiography was taken after 3 weeks showing good bone healing and excellent implant retention.
Pre operative intra oral view showing illfitting ceramic crowns with gingival discoloration in upper anteriors
Pre operative digital radiograph showing periapical infection in RC treated teeth
Tooth with external resorption was extracted and infection was cleared
Implant placement procedure
Implant fixed with good retention
Apicectomy for adjacent tooth
Immediate post operative view
Post op digital Xray showing good healing
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