Annals and Essences of Dentistry
Open Access

Abstract

A CLINICAL STUDY ON MANAGEMENT OF MANDIBULAR MOLAR WITH LARGE PERIAPICAL ABSCESS and FURCATION INVOLVEMENT: A CONSERVATIVE APPROACH

Kirtija Gupta, Arvind Kumar

Treatment of the damaged molar often presents a set of challenges unique to the posterior dentition. Traditional dental treatments continue to be refined to improve the prognosis when treating the posterior dentition. Daily treatment-planning decisions involve consideration of local host factors as well as limitations in specific therapeutic approaches. Objectives: The aim of this article is to present a case report of management of periapical abscess of mandibular right first molar associated with furcation involvement utilizing metapex followed by conventional root canal treatment. Results: Patient was evaluated after filling of canals with metapex every three months for one year. Radiographic examination showed healing of furcation defect as well as resolution of periapical radiolucencies. Clinical evaluation revealed reduction of tooth mobility. Discussion: The case was diagnosed as periapical abscess with furcation involvement. The suggested treatment of periapical abscess with furcation involvement by placement of metapex followed by conventional root canal treatment of the involved tooth could result in complete healing of tooth which was considered hopeless.

Published Date: 2012-09-30;