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  Indian J Med Microbiol
 

Figure 4: Patient complained of pus discharge from gums in between central incisors. Patient gave a history mild impact trauma on mandibular anterior 10 years ago. (a) Clinical picture showing the presence of sinus opening in between central incisors. (b) Radiograph of mandibular anterior teeth showing the presence of large radiolucency in between central incisors with a wide base at the apex suggesting primary endodontic lesion (both centrals did not respond to vitality tests). (c) Radiograph showing initiation of root canal therapy and placement of calcium hydroxide as an intracanal medicament. (d) Radiograph showing completion of root canal treatment. (e) Radiograph showing healing after 1 year

Figure 4: Patient complained of pus discharge from gums in between central incisors. Patient gave a history mild impact trauma on mandibular anterior 10 years ago. (a) Clinical picture showing the presence of sinus opening in between central incisors. (b) Radiograph of mandibular anterior teeth showing the presence of large radiolucency in between central incisors with a wide base at the apex suggesting primary endodontic lesion (both centrals did not respond to vitality tests). (c) Radiograph showing initiation of root canal therapy and placement of calcium hydroxide as an intracanal medicament. (d) Radiograph showing completion of root canal treatment. (e) Radiograph showing healing after 1 year