Dentigerous cyst (by Ilya Mer)

Русская версия

Patient was sent to my office to complete RCT #47 (31) with apical periodontitis after pulp necrosis.  Mesial canals were calcified and both ledged. RD broke the file trying to negotiate the canal. I had to spend much more time trying to find the apical portion of both mesials than retrieving the fragment.

The patient is 45 y.o. male.  It is probably a dentigerous (follicular) cyst.

Preop X-rays, in mesial root is seen a fragment of separated instrument, there is a radiolucent lesion around the crown of non erupted wisdom tooth. It looks like dentigerous cyst.
the fragment is removed
negotiation and obturation steps
Final X-ray with temporary filling

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