Question 537 · LDEK · Periapical diseases
A 32-y.o. patient presented to the dentist due to oedema of the paranasal and infraorbital area, and 38,5°C fever. Examination revealed elevation of vestibular mucosa in the area of teeth 11-14, and deep cavity of tooth 13. The tooth is painless, tender to percussion. Radiographic image showed osteolytic focus in the apical area. Choose preferred procedure:
- A. extraction of tooth 13 and drainage through the alveolus.
- B. abscess incision and RCT of tooth 13.
- C. abscess incision, RCT of tooth 13 and antibiotic course.
- D. tooth trepanation, antibiotic course and extraction of tooth after the oedema subsides.
- E. tooth trepanation and open treatment until the symptoms subside.
Hint
Look for signs that the infection has spread beyond the tooth — fever and facial swelling change the need for systemic therapy.
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