Decompression of large lesion in maxillary anteriors

This patient had a large lesion in the right maxillary anterior region. The lateral Incisor tested vital. I decided to re-treat only the central Incisor. Despite several calcium hydroxide changes spread over 2 months, there was persistent drainage of pus. Instead of opting for the more radical option of endo on the lateral and immediate surgery, we decided to do decompression. The drainage stopped and the tooth was subsequently obturated. Patient recently came for some other work and I took a 5-year recall raiograph. It seems to be holding on for now. I was tempted to do the endo on the lateral on several occasions, but it always tests vital.

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