1. Case Presentation
Wednesday
Postgraduate student Harald Prestegaard
Endodontic Departement
Faculty of Dentistry
University of Oslo

2. A 60 year old caucasian male.
Came to my private clinic for the yearly routine recall
Medical history non-contributory.

3. Dental History and Chief Complaints
The patient said he is periodicaly sore in the upper front region probably for several years.

4. Clinical Examination No extraoral findings. 22 tender to percussion.
22 tender on palpation.
A yellow discouloration.
No deep periodontal pockets detected.
A sinus tract detected in the alveolar mucosa 22.

5. Radiographic Examination

6. Diagnosis: Treatment: 22 Apical periodontitis with sinus tract
Endodontic treatment of necrotic tooth 22

7. Working length: Instrument size: 24,5 mm ref. incisal edge NiTi nr.55
Working length contolled with apex locator and x-ray.
Irrigation with NaOCl and EDTA
UltraCal XS and IRM

8. 3 months later

9. 12 months from the start

17. is considered uncertain
Endodontic prognosis
is considered uncertain