case_images: PMC11808328_01
case_images: Labial and palatal views of the right central maxillary tooth with extrusion and granulation tissue swelling in the cervical region of the tooth, diagnosed with pulp necrosis and acute apical abscess
case_images: IEJ-20-e8-g001.jpg
case_images: PMC11808328_01_IEJ-20-e8-g001.jpg
case_images: F1
case_images: Extrusion of the right central incisor was observed with local swelling and granulation tissue near the cervical region in both the buccal and palatal gingival soft tissues (Figure 1).
case_images: Initial panoramic and periapical radiographs of tooth #8
case_images: IEJ-20-e8-g002.jpg
case_images: PMC11808328_01_IEJ-20-e8-g002.jpg
case_images: F2
case_images: The endodontist ordered a periapical radiographic examination to assess the surrounding area properly (Figure 2).
case_images: Splinting tooth #8 to the adjacent teeth with orthodontic wire and composite resin
case_images: IEJ-20-e8-g003.jpg
case_images: PMC11808328_01_IEJ-20-e8-g003.jpg
case_images: F3
case_images: Then the access cavity was sealed with Coltosol (Ariadent, Tehran, Iran) temporary restoration. The tooth was splinted to the adjacent teeth with an orthodontic wire and composite resin (Figure 3). 
case_images: A) The second session; completing root canal therapy of tooth #8 and splint removal; B) Tooth restoration ; C) Periapical radiography immediately after root canal obturation
case_images: IEJ-20-e8-g004.jpg
case_images: PMC11808328_01_IEJ-20-e8-g004.jpg
case_images: F4
case_images: Therefore, the patient was referred to a dentist for tooth restoration (Figure 4).
case_images: Periapical follow-up radiographs of tooth at A) 6-month; B) 14-month; C) Five-year
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case_images: PMC11808328_01_IEJ-20-e8-g005.jpg
case_images: F5
case_images: In the follow-up sessions after 6 and 14 months, periapical healing was detectable on radiographs and in clinical examinations (Figures 5A and B). After five years of follow-up, complete healing of the periapical lesion was seen in the periapical radiographic examinations, with no pain on palpation and percussion; the mobility was in the normal range, and the tooth was asymptomatic (Figure 5C).