Oral and Maxillofacial Surgery

Case of the Month

June, 1998


The patient was referred to our office complaining of pain in her anterior mandibular incisor area.


Medical history revealed a 17 y.o. white female with no known drug allergies or history of operations. The patient was taking Cefaclor 500 mg and Lortab 7.5. Dental history revealed the patient had restorations involving teeth #'s 23, 24, and 25. In addition, root canals had also been performed on 23, 24, and 25. No erythema or edema was noted in the incisor area. Radiographic examination demonstrated root canal treatment for #'s 23, 24, and 25 with a beginning radiolucent area around the apices of 23 and 24.



  1. Apicoectomy Teeth #'s 23 and 24
  2. Apical Curettage


Trephination of the buccal cortical plate of the mandible, inferior to the apex of 23 and 24 resulted in the evacuation of exudate under pressure. No cystic lining was encountered. A gutta percha overfill was noted at the apex of # 24. Apicoectomy and apical curettage of #'s 23 and 24 was then performed.

Click on image to enlarge.

Patient treated by:
  • Dr. Steven R. Tucker Oral and Maxillofacial Surgery

 Steven R. Tucker DMD, PSC
 Oral and Maxillofacial Surgery
 909 Scherm Road
 Owensboro, KY 42301
 phone: 1-502-926-4107
 fax: 1-502-926-4166
 url: http://www.srt-psc.com


Last Modified: May 31, 1998

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