74 yom presented with buccal swelling in the area between #20 & 21.
Here are the challenges –
What if all teeth did not react to pulp sensibility testing with the cold?
What if your sinus tract-tracing pointed in the area inter-radicularly between the two teeth?
What if both teeth are percussion positive?
How do you make your decision to intervene? What are your initial impressions/differentials when you see this lateral radiolucency? Please post your comments below.
It is very easy to lose peripheral vision in similar cases.CBCT was key in making a deductive diagnosis.
Fire on!!







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I would delve into endodontic assessments for both #20 and #21 emphasizing the importance of CBCT in unraveling the lateral radiolucency mysteries. Exploring the percussion positivity angle considering inflammatory or odontogenic aspects could guide the intervention strategy.
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1. Get regular eye exams
Peripheral vision loss often develops gradually, especially in conditions like glaucoma. Regular eye checkups (every 1–2 years, or more often if you’re at risk) allow early detection and treatment before serious damage occurs.
2. Manage eye pressure
High intraocular pressure (IOP) is a major cause of glaucoma-related vision loss. Your eye doctor may recommend medicated eye drops or other treatments to keep pressure within a safe range.
3. Control underlying health conditions
Chronic illnesses like diabetes, high blood pressure, or high cholesterol can affect blood flow to the optic nerve and retina. Managing these conditions helps protect your overall vision.
4. Protect your eyes from injury
Wear protective eyewear when playing sports, working with tools, or in environments with flying debris or chemicals. Eye trauma can sometimes lead to permanent loss of side vision.
5. Eat a vision-friendly diet
Include foods rich in vitamin A, vitamin C, vitamin E, zinc, omega-3 fatty acids, and lutein/zeaxanthin — found in leafy greens, carrots, citrus fruits, nuts, and fish. These nutrients support retinal and optic nerve health.
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