Upon review these were the findings -
C/c -Patient complains of sever pain and swelling in a previous RCT done 2years ago
Now the patient is 6month
pregnant
Drug allergies?
Elaborately these are to be done for -
Counsel and evaluate the patient for a re RCT of tooth as facing severe pain and discomfort. As it is 2nd trimester into pregnancy and somewhat safe -and dental condition is severe, to avoid invasive treatment such as extraction and later bone formation, suggesting evaluation for re RCT. Advise for before entering 3rd trimester. Word of caution with gynecology
Provisional diagnosis -
Caries and infection of teeth with pain and swelling causing discomfort. The tooth got a RCT done 2yr back (and now the patient is 6month pregnant)
Differential diagnosis -
Diagnostic tests -
clinical evaluation for re RCT, gynecology opinion
Treatment advise for -
re RCT
extraction? (not suggested)
Prognosis -
fair
Next Steps
clinical visit for evaluation of re RCT
Health Tips
surgical extraction and later bone formation, more metabolic activity