QUERY

[Anonymous]

 was the swelling tender .

can u post the clinical images/ IOPA/OPG.

did u check for pockets. 

regards,

veeren

        

[azeemaakbar@gmail.com]

yes since no radiographic changes or any other lesion was suspected,after 10 or 11 years the patient has come,which means there can be some chronic irritation underneath the restoration ,plus bacterial cause is also excluded,no infection,no fibrous dysplasia in bone,no periodontal involvement.

second thing:biocompatibility of the material used can be questioned.success rate for a bridge is 10 to 12 years.

        

[drmithila]

1. The OPG is completely normal, no radiolucency indicative of any infection or lesion is visible

2. No periodontal pockets, only gingival recession seen on mesial root, but still doesnt explain the lingual swelling

3. We suspect the crown to be causing the irritation, so we will proceed with first removal of the crown

        

[drsushant]

I guess the diagnosis would be more apparent once you remove the crown. Do keep us updated on the case.

        

[Author]

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