a 35 year medically fit non-smoking patient presents complaining of a buccal intraoral swelling associated with...

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a 35 year medically fit non-smoking patient presentscomplaining of a buccal intraoral swelling associated with hislower right posterior teeth. In addition, the patient complains ofbleeding gums and wishes to improve the appearance of the gingivaaround tooth FDI 23 that clinically has associated class IIgingival recession.Â Â Initial clinical examinationindicates an intraoral swelling with a draining sinus between teethFDI 45 and 46, grade I mobility of 46, generalized clinical loss ofattachment of 3-4mm and generalized pocketing of 5-6mm withbleeding on probing around all teeth.
question:
1- explain and justify the differential diagnosis.
2- discuss the investigations you would undertake and the findingsthat you expect, explaining their relevance to the clinical

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3.9 Ratings (412 Votes)

1 Differential diagnosis include A trauma from occlusion is a possible cause for 23 for recessionrecession seen only in one tooth and this leads to over occlusal loads for 45 and 46 which can lead to periodontal abscess to 45 and 46 See Answer

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