Multidisciplinary approach in Mx of large-infected periapica
The present case has been reported in the journal Endodontology.

An 18-year-old male patient came with the chief complaint of pain and swelling on the left side of the face. The patient reported a history of trauma in upper anterior teeth, which had occurred >7 years back and only the root canal of the central left incisor had been endodontically treated without a technique of apexification. The patient consulted a private clinic 6 months prior for a similar complaint, and access cavities of teeth 21.22 and 23 were left open.

Extraoral examination revealed a nonwell-defined swelling in the canine space swelling of the left side of the face, extending into and involving the left eye. Access openings of teeth 21.22 and 23 were found open, which were painful to percussion and exhibited Grade 2 mobility. Pus was flowing through the buccal sulcus of the teeth.

Radiographic examinations were conducted and revealed a large well-circumscribed radiolucent lesion involving teeth 21.22 and 23 and the extrusion of the gutta-percha from the open apex of the central left incisor.

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