International Journal of Clinical Case Reports 2016, Vol.6, No.22, 1-8
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Figure 5
Showing calcium hydroxide dressing with access
opening closed with a temporary restoration as seen on
IOPAR
Figure 6
Showing oral prophylaxis done in relation to
maxillary arch
Figure 7
Showing completed endodontic treatment in relation
to 11
Periodontal therapy: A periodontal surgery was planned after 1 month of the completion of the endodontic
treatment. Routine blood investigations were advised for which the reports were found to be normal. Pre-surgical
periodontal pocket depth was reduced to 7 mm (
Figure 8
). After proper isolation of the surgical field, the operative
site was anaesthetised using 2% xylocaine hydrochloride with adrenaline (1: 200 000). A crevicular incision was
given covering 12, 11, 21 region and a full thickness muco-periosteal flap was raised (
Figure 9
). The infected,
necrosed bone was removed and a continuous apico-marginal defect was observed along with buccal wall with
dehiscence. 3 mm of root was resected for apicoectomy and 3 mm gutta percha was removed from the apex with
the help of a heated probe (
Figure 10
).
Figure 8
Administrative map of Nigeria (above) showing the
Hydrological map of the Lagos lagoon complex. The sample
stations A & B are indicated on the Badagry axis of the
lagoon
Figure 9
Showing crevicular incision given in relation to 12,
11, 21 region with raised full thickness mucoperiosteal flap
