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!!