Case Presentation

A Emergency treatment with incomplete root canal instrumentation and application of Ledermix.

B/C Seven days later, the canals were rinsed and working length was determined with slight overinstrumentation; subsequently, the canal was fully debrided and a calcium hydroxide dressing was placed.

D Twenty-four hours later, the patient presented with significant swelling as a result of the extrusion of necrotic tissue.

E Following intraoral incision and release of suppuration, the patient's pain symptoms immediately subsided.

F-H Five days after reduction of the acute symptoms, the canal was again instrumented, and definitively filled two months later.

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