Dentistry

Dental consultations, oral surgery, and treatment planning

Anaya Kumar, 8F — DENT-2026-041

Toothache — lower right molar, 3 days

In Progress

Examination: 47 (lower right 2nd molar) — deep carious lesion, periapical tenderness, sinus tract present. Percussion: positive. Vitality: non-vital.

X-ray: OPG: periapical lucency 47, interradicular bone loss

Diagnosis: Chronic apical periodontitis — tooth 47

Pulp extirpation (root canal treatment) × 3 visits. Access cavity opened today. Biomechanical preparation scheduled next visit.

Parent counselled re: oral hygiene. Fluoride varnish applied to adjacent teeth.

Gopal Mehta, 45M — DENT-2026-040

Dental clearance requested by surgery team (pre-ERCP)

Completed

Examination: Generalised periodontal disease. 3 teeth with moderate-severe mobility. Calculus grade 3. Multiple caries.

X-ray: Dental OPG: generalised horizontal bone loss, 36 root stump

Diagnosis: Chronic generalised periodontitis (Stage III Grade B)

Scaling and root planing — urgent (pre-operative dental clearance). 36 root stump extraction before surgery. Cleared for ERCP post-extraction healing 48h.

Dental clearance certificate issued to surgical team.