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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