40 year old came in for a limited exam.
Chief Complaint: "My tooth hurts. I want it taken out. I don't want a bridge"
Diagnosis: large carious lesion extending to the nerve, destroying the distal half of the maxillary second premolar
Treatment plan: possible surgical extraction if the clinically crown breaks
Verbal consent acknowledged, consent form signed and obtained.
1 carpule of 2% lido 1:100k
Whew, #13 was extracted non-surgically. During luxation, the tooth did make an audible crack. Thankfully the clinically crown didn't break.