Began with upper jaw pain few days, insidious but noticed acute exacerbation recently.
The pain appeared to have been referred to the right upper jaw but finally settled into the right lower jaw and the problem causing the toothache appears to be in the root of the right first molar
Diagnosis was apical pulpitis with periodontal inflammation:
More about it in terms of general knowledge here: https://www.ncbi.nlm.nih.gov/books/NBK589656/
RCT gutta parcha
Post RCT x-ray
The pain continued and finally a gum boil appeared.
In between there was some integrative medicine as evidenced by the image of the repertory above that appeared to have sorted the pain although later when the gum boil appeared it was difficult to figure out what had really reduced the pain? Did the pain come down because of the intra oral sinus which is a modern pathophysiologic label for a gum boil?
More in general about gum boil here: https://en.wikipedia.org/wiki/Intraoral_dental_sinus
"Gum boil is aka Intraoral dental sinus aka parulis. The etiology of intraoral dental sinuses is primarily linked to periapical abscesses, which develop when bacterial infections from the root canal system extend into periapical tissues." Unquote from above link
Gum boil day 1
Gum boil day 2
Gum boil day 3
Post second RCT x-ray:
Post operative day 1:
Post operative day 2:
3rd and final session of RCT:
More periodontal PaJR links from the periodontal project:
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