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How would you describe the frontal image?

  • Soft tissues appear NAD
  • Class III Frenal Attachment
  • Unilateral crossbite on the right hand side
  • Anterior Open bite
  • Teeth :
    • All Primary
    • 51,61:
      • Qualitative defects:
        • Brown opacities
      • Quantitative Defects:
        • What appears to be pitting

How would you describe the occlusal image:

  • Soft tissue
    - Localized swelling associated with tooth 74 - most likely dental abscess associated with 74 icdas 5
  • Teeth :
    • ICDAS 5s on 74 and 84

What tooth on the top left?

  • 75
  • Gross radiolucency extending into pulp space
  • significant furcal lucency
  • resorption of both mesial and distal roots

What tooth on bottom left?

  • 74
  • Radiolucency on mesial aspect extending to inner 1/3 dentine
  • unsatisfactory restoration into the pulp
  • widening of root canal space associated with internal resportion
  • furcal lucnecy -caries on the distal surface of the primary canine

Max Occlusal

  • ell demarcated defects in the enamel (quantitative thats why you can see them on radiographs)
  • periapical lucnecies on both incisors
  • apical resportion happening as well

What is the most appropriate managmenet for very obvious dental abscess

  • Extraction!

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