Clinc Dr.angham

07/12/2025

🦷 Extraction of #37 with removal of the periapical lesion

📌 Diagnosis / Radiographic finding:
Chronic periapical abscess with a periapical lesion extending to the furcation area of a non-restorable mandibular molar ( #37).

🛠️ Treatment provided:
• Extraction of #37
• Deep curettage of the periapical area
• The periapical lesion was removed as one mass attached to the extracted roots
• Saline irrigation 💉
• Periodontal dressing placed
• Post-operative OPG obtained for confirmation
• Medications and post-op instructions provided

(OPG pre-op & post-op included)

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Dr. Angham
anghame
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05/12/2025

🦷 Case Report — Pulpectomy of Primary First Molar ( #84)

Patient: 7-year-old child
Tooth: Lower right primary first molar ( #84)

Diagnosis:
• Necrotic pulp
• Chronic apical periodontitis
• Periapical radiolucency with bone loss (more in mesial root)

Treatment:
• Complete pulpectomy
• Root canal obturation using Zinc oxide–eugenol (ZOE) paste
• Coronal restoration completed
• Follow-up scheduled at 3 and 6 months to monitor clinical and radiographic healing 🦷✨

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anghame
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05/12/2025

23/11/2025

🦷 Surgical Extraction – Tooth #36

Extraction of tooth #36 that had:
– Extensive deep caries reaching the furcation area
– Thinning of remaining dentin
– Severe structural loss
– Mild bone rarefaction from chronic inflammation
→ making the tooth non-restorable

Procedure:
– Surgical extraction with root sectioning, as shown in the intra-operative photo
– Deep curettage of the socket
– Irrigation with normal saline
– Pre-operative panoramic X-ray for assessment
– Post-operative panoramic X-ray confirming a clean site with no retained fragments

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anghame

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18/11/2025

🦷 Extraction of Upper and Lower Right Wisdom Teeth in One Session

Tooth #18:
Deep caries reaching the pulp with a deep crown fracture.
The root tips appear close to the maxillary sinus floor on the panoramic view.
Extraction was completed with normal saline irrigation, gauze placement, and full post-operative instructions.

Tooth #48:
Deep caries with crown breakdown, and the tooth was mesially tilted.
Extraction was completed with normal saline irrigation, gauze placement, and post-operative instructions.

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“Extraction isn’t loss… it’s choosing what no longer deserves a place.”

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anghame

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27/10/2025

🦷 Case Summary — #46

✔️ Pre-operative panoramic X-ray showing remaining roots of mandibular right first molar ( #46) with periapical radiolucency, indicating chronic periapical infection.

✔️ Extraction of the remaining roots was performed.

✔️ Deep curettage of the infected socket** was done to remove granulation tissue and ensure proper debridement.

✔️ Irrigation with sterile normal saline.

✔️ Post-operative X-ray confirmed complete removal of the infected roots.

✔️ Antibiotic and analgesic were prescribed to support healing and prevent secondary infection.

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“Some extractions hurt, but healing always follows ❤️‍🩹”

—
📍 Dr. Angham
Clinical Documentation
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anghame

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#اكسبلور

15/09/2025

Extraction of an upper right wisdom tooth (tooth #18) 🦷🐘 with curved roots — completed successfully without complications.

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📝 “Some loves are like roots — deep, curved, and painful… yet removal is the only cure.” ❤️‍🩹

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.anghame

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14/09/2025

🦷 Multiple Extractions – Clinical Case

This case demonstrates the extraction of multiple maxillary teeth:
• Tooth #16 (remaining roots): retained and located close to the floor of the maxillary sinus.
• Tooth #18 (upper right third molar – wisdom tooth): presented with a fractured, carious crown and curved roots in close proximity to the maxillary sinus.
• Tooth #28 (upper left third molar – wisdom tooth): fractured crown partially covered by a gingival flap, requiring a minor operculectomy before extraction; the roots were markedly curved and close to the maxillary sinus.

✨ Despite these anatomical challenges, all extractions were performed smoothly and atraumatically, without the need for surgical bone removal.

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anghame
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#اكسبلور

09/09/2025

Root Canal Treatment – Tooth #47
Caries with pulpal involvement and periapical lesion. Root canal therapy was performed under rubber dam with cleaning, shaping, and obturation achieving proper apical seal.

👉 Follow-up is required to confirm periapical healing.

📝 Pain doesn’t fade with words, but with mastery of steps. ✨🦷

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📍 Dr. Angham
Follow for more clinical cases ⤵
anghame
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#اندو


#اكسبلور