A female patient in her 50s visited our clinic with a broken upper front tooth (11) and mild swelling in the area. Since the tooth plays a key role in smile esthetics and overall function, a detailed evaluation and treatment plan were carried out.
Clinical & Radiographic Findings
- Clinical examination revealed severe crown loss in tooth 11, making it unsuitable for direct restoration.
- OPG and IOPA showed periapical radiolucency, confirming an underlying infection.\
- The patient had an RPD replacing tooth 21 and an impacted 21, which she did not wish to have treated or removed.
- The treatment goal was to save tooth 11, eliminate infection, and provide proper structural support with post and core buildup, followed by a crown.
Endodontic Treatment Procedure
- Access opening was performed on tooth 11 under local anaesthesia.
- The canal was found to be very wide and prepared up to an 80 K-file.
- Rotary files were used and carefully dragged across the canal walls to ensure complete debridement.
- Irrigation with sodium hypochlorite and saline was performed for disinfection.
- Intracanal medicament (ICM) was placed, and the tooth was temporised.
Appointments
- After 5 days, the canal was cleaned and irrigated again, and ICM was reapplied.
- In the next visit, obturation was performed using the lateral condensation technique:
- The access cavity was sealed, and the patient was scheduled for post and core work.
Outcome & Plan Ahead
The patient reported relief from discomfort, and the tooth was successfully sealed. The next step involves post and core buildup to strengthen the remaining structure, followed by a full-coverage crown for durability and esthetics.