A 26-year-old male visited the Department of Conservative Dentistry and Endodontics after referral from Oral Surgery for opinion regarding maxillary right lateral incisor. Diagnosis established in Oral Surgery was of an infected cyst in relation to tooth

CASE-1 A 26-year-old male visited the Department of Conservative Dentistry and Endodontics after referral from Oral Surgery for opinion regarding maxillary right lateral incisor. Diagnosis established in Oral Surgery was of an infected cyst in relation to tooth #12 and the treatment suggested was enucleation and curettage. Patient’s dental history revealed anterior trauma at 10 years of age and his chief complaint was found to be recurrent swelling and pus discharge in relation to maxillary right anteriors for the past 1-2 years. Clinical examination revealed a discolored tooth #12 [Table/ Fig-1a] and sinus opening within an erythematous area measuring 0.5cm on the palate [Table/Fig-1b]. On palpation, the palatal region had a paper like soft consistency. Thermal and electrical pulp testing elicited no response in tooth #12 but positive responses in both tooth #11 and tooth #13. Pre-operative radiograph revealed a large radiolucency approximately 15mmX15mm, involving tooth #12, and extending up till teeth #11 and #13 [Table/Fig-1c]. Tooth #12 showed large canal space, open root apex, and ragged irregular margins at the apex suggesting inflammatory external resorption. We decided to treat tooth #12 conservatively and include surgical intervention, only if deemed necessary.