Answer:
- Lower incisors are permanent
- can tell by colour
- can tell because the edge of the 31 is still out of occlusion
- Dental Age
- 6 years old
- Permanent 6’s
- Permanent Lower incisors
- 6 years old
- Findings
- Discoloured 61
- Discolored 51 (less obvious)
- Erythema around the mucogingival junction of the 61
- most likely it is the site of a draining sinus
- Differential diagnosis
- Abliteration
- Necrosis
- Trauma
- 61:
- Pulp Status: Necrotic and infected pulp space, periapical abscess
- 51:
- Pulp canal calcification/ obliteration
- Investigation
- Questions
- has there been any pain?
- gum pimples?
- has there bee na trauma
- Maxillary occlusal film
- want to look at the periapical area and the pulp space
- Questions
- Management
- Extract 61
- teeth with necrotic pulps don’t exfoliate normally so we should just extract it
- Monitor 51
- Extract 61
Easiest to see discolouration when looking from the palatal
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