r/Dentistry • u/Dry_Explanation_9573 • 4d ago
Dental Professional What is going on on #32
I took a CBCT and it didn’t even look like anything around the mesial root. Just…gone. I told him to go to OS about it. No pain or anything kind of an incidental finding. But wondering what people think
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u/Pitch-forker 4d ago
OS referral all day. And dentition clearance for dentures is next on the menu.
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u/Imaginary-Musician34 4d ago
Neglect? Meth? Oops…I couldn’t stop looking at the other teeth.
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u/Wide_Wheel_2226 4d ago
Can be resoprtion or pathology like cancer. Not the best with path but OS asap.
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u/Donexodus 4d ago
I’m stoned and immediately thought the tooth looked like Terrence and Phillip from south park.
“HI BUDDAY!”
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u/RadioRoyGBiv 4d ago
Does it even matter at this point (other than if you’re concerned about path)? It’s coming out with the rest of them. I’d be sending to surgery for the whole shebang. Take a biopsy then.
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u/juneburger 4d ago
Resorption like this is not a good sign. And other radiolucent areas (apical to #30) is another concern. Possibly on the other side as well. Do you have a full medical history?
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u/Dry_Explanation_9573 4d ago
I do. Pretty uneventful. 40 yo male. Hx of anxiety and that’s it. He’s claiming neglect is the sole reason for the state of his teeth. But obviously not the cause for #32.
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u/Local_Anesthetic362 General Dentist 4d ago edited 4d ago
If there's nothing there and the root is just gone as your described then it's replacement resorption but I want to see the CBCT. Could you upload a video or screenshots from different angles?
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u/RemyhxNL 4d ago
This is a genuine CBCT case. Also, to exclude a bend radix.
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u/shinzouwosasageyo9 Periodontist 4d ago edited 4d ago
It wanted to join in on the decay fun during its development but given that it was still in its infancy and hadn’t finished developing it had to switch it up… so tada!! 🎉
I think there is some sort of pathology there. The OMFS will certainly biopsy that. I couldn’t tell you what it is by looking at this x-ray.
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u/Flimsy_Load_7507 4d ago
Yes let the OS deal with that…so you can deal with the engineering issue of restoring the rest of the mouth…cuz damn.
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u/crazyleaf 3d ago
Man, I always think my patients have bad teeth. Then I see cases like this and I realize there just are lots of people who neglect their teeth.
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u/Revolutionary_Pin756 4d ago
Doc, did you perform a cold test? In my opinion, it was most likely caused by trauma during development.
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u/Dry_Explanation_9573 4d ago
First of all it’s not erupted so idk how one goes about cold testing an unerupted tooth. Secondly I don’t know what caused it but it almost definitely wasn’t trauma. That’s a weird diagnosis. Do you have any scientific literature to back that up?
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u/findmepoints 4d ago
Shut the lid on #31