Q2: patient 18 years old come to the clinic with diffuse
facial swelling in the region of upper right lateral incisor,
in addition to elevated tempreture and malase, after clicical and radiographic examanation we found the lateral was previously treated with pulpotomy . The dental history of the affected teeth: the tooth has been previously treated by partial endodontic theraby pulpotomy this partial endodontic therapy was performed as an emergency procedure for symptomatic or asymptomatic irreversible pulpitis or iatrogenic root exposure this procedure may not performed ideally and the inflammatory reaction continued and cause this swelling signs and symptoms: patient complained from rapid onset spontaneous pain with systemic manifestation,localized vestibular and facial swellind found . tests: on percussion and palpation test: positive on thermal and electrecal test: negative x-ray: widening on pdl space plus apical radiolucency ttt. option : Removal of the underlying cause, release of pressure (drainage where possible), and routine root canal treatment lead to resolution of most cases of AAA.