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Periapical abscess from dens in dente
Roentgeno-oddities
A
PERtAPICAL ABSCESS FROM DENS IN DRNTE
22-year-old Negro man came to the Myrtle Beach Air Force Base Dental Clinic for routine dental care. Upon oral examination, a gingival abscesswas noticed in the vestibule of the apex of the maxillary left lateral incisor. The patient was questioned concerning this area. He disclosed that he had seen a civilian dentist approximately 2 years earlier w’hen a “pimple-like” area was present on the gingiva. The dentist told him that the tooth would have to be extracted. No oral roentgenogram was taken at the time. The patient did not wish to have the tooth removed. The gingival abscess had increased in size and decompressed spontaneously during the Z-year period. A roentgenogram of the area revealed a classic dens in dente and an accompanying periapical lesion. Endodontic treatment could not be performed; therefore the tooth was extracted and an anterior bridge was constructed. Captim, USAF, (DC) Preventive Dentistry Officer Myrtle Beach Air Force Base, S. C.
John K. Ken&k%,
Each month this section will bring to the readers of ORAL SURGERY, ORAL MEDICINE AND ORAL PATHOLOGY one or more roentgenograms which demonstrate unusual, unexpected, rare, or bizarre roentgenographic changes. These roentgenograms will be accompanied by an explanation or by words of inquiry regarding the particular change. Please submit 5 by 7 inch glossy black and white prints along with two copies of the description of the case. All material for publication should be submitted to Dr. Lincoln R. Manson-Hing, Unrverslty of Alabama School of Dentistry, Medical Center, Birmingham, Alabama.
A
PERtAPICAL ABSCESS FROM DENS IN DRNTE
22-year-old Negro man came to the Myrtle Beach Air Force Base Dental Clinic for routine dental care. Upon oral examination, a gingival abscesswas noticed in the vestibule of the apex of the maxillary left lateral incisor. The patient was questioned concerning this area. He disclosed that he had seen a civilian dentist approximately 2 years earlier w’hen a “pimple-like” area was present on the gingiva. The dentist told him that the tooth would have to be extracted. No oral roentgenogram was taken at the time. The patient did not wish to have the tooth removed. The gingival abscess had increased in size and decompressed spontaneously during the Z-year period. A roentgenogram of the area revealed a classic dens in dente and an accompanying periapical lesion. Endodontic treatment could not be performed; therefore the tooth was extracted and an anterior bridge was constructed. Captim, USAF, (DC) Preventive Dentistry Officer Myrtle Beach Air Force Base, S. C.
John K. Ken&k%,
Each month this section will bring to the readers of ORAL SURGERY, ORAL MEDICINE AND ORAL PATHOLOGY one or more roentgenograms which demonstrate unusual, unexpected, rare, or bizarre roentgenographic changes. These roentgenograms will be accompanied by an explanation or by words of inquiry regarding the particular change. Please submit 5 by 7 inch glossy black and white prints along with two copies of the description of the case. All material for publication should be submitted to Dr. Lincoln R. Manson-Hing, Unrverslty of Alabama School of Dentistry, Medical Center, Birmingham, Alabama.