Management of a Nonvital Tooth with Grade 2 Mobility and Gingival Pus Discharge: A Case Report

Abstract

In the management of nonvital, mobile teeth and pus discharge in the gingival sulcus, an interdisciplinary holistic approach using a combination of endodontic and periodontal treatment could achieve success. The present case reports the management of a 30-year-old patient having a grade two mobility nonvital tooth and pus discharge from the gingival sulcus. Initial emergency care was provided followed by endodontic therapy started a week after therapy initiation. Three times during three weeks Ca(OH)₂ dressing was applied. It had been followed by obturation of the root canal system. Three-month follow-up revealed a considerable decrease in mobility of the tooth (grade 1) along with healthy gingival tissue. This particular case illustrates the need for interdisciplinary periodontal and endodontic therapies to enhance challenging clinical problems of nonvital teeth with relevant periodontal issues.