CASE SYNOPSIS Medical history Patient reported no relevant medical history and denied taking any medications He has no known drug allergies He has family history for type 2 DM He denied smoking or the use of recreational drugs and is a social drinker Physical exam The vitals were stable and no extra-oral asymmetry and lymphadenopathy were noted The tooth in question also presented with suppuration through a sinus tract on the palatal aspect A periapical radiograph showed radiolucenecy around the apex of the tooth in the absence if pulpal pathology confirmed by both clinical and radiographic exam. Intra oral-exam The localized area of >6mm probing depth with bleeding on probing, recession, mobility, furcation involvement and moderate to severe radiographic bone loss.
Peripheral radiograph showing maxillary left posterior teeth. Maxillary left second molar shows reasonably well defined…
