Recently, a middle aged female arrived at our centre with swelling in the upper lip with pus dischare from the nose which was not subsiding despite continued antibiotic therapy and frequent visits at a local dentist as well as an ENT surgeon.
Upon examination and digital imaging, we discovered a peri apical pathology wrt upper right central incisor. Patient also gave history of facial trauma around 7 yrs back.
RCT was started and BMP was done till F2 (Dentsply) and consequent emperical antibiotics were supported with local fibrinolytic enzyme therapy (Bromozyme-DT) as an antibioma was kept under diffrential diagnosis. Hot compressions were recommended for vasodilatation.
Within 3 days, the swelling subsided and we appointed the case for apicoectomy.
Post surgery, the tissues in the concerned area improved dramatically and the patient was completely asymptomatic within 7 days during suture removal.
The tooth mobility reduced remarkably and we plan to crown the tooth within a week.
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