This case came in to my office in 2013. The patient was in pain and very swollen with a large periapical lesion. Pulp testing was performed and tooth 7 was necrotic and tooth 8 was vital even though the lesion enveloped both teeth. That is why pulp testing is critical! I told him that due to the size of the lesion it may not resolve with root canal therapy. It may need to have a surgery and sent to get a biopsy. He agreed to conservative root canal therapy. Patient was treated in 2 visits. Calcium Hydroxide was used for 3 weeks as the intracanal medicament. Patient returned for completion of root canal therapy. Today was a 2 year recall showing very nice healing.

Dr. Rico D. Short
Diplomate, American Board of Endodontics
Apex Endodontics P.C
www.ApexEndodontics.net
678-503-0790