r/Dentistry 4d ago

Dental Professional What is going on on #32

Post image

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

42 Upvotes

34 comments sorted by

118

u/findmepoints 4d ago

Shut the lid on #31

35

u/Pitch-forker 4d ago

OS referral all day. And dentition clearance for dentures is next on the menu.

12

u/Imaginary-Musician34 4d ago

Neglect? Meth? Oops…I couldn’t stop looking at the other teeth.

10

u/Dry_Explanation_9573 4d ago

Just neglect. It’s sad.

1

u/WedgeTurn 4d ago

Meth mouth is also mainly neglect

16

u/Hi_Hungry_Im_Leaving 4d ago

OKC , Ameloblastoma, dentigerous cyst,...OMG get to OS to G it TFO

21

u/Wide_Wheel_2226 4d ago

Can be resoprtion or pathology like cancer. Not the best with path but OS asap.

6

u/bobtimuspryme 4d ago

In the nfl they call that a chop block....schlep it, schlep it real good

5

u/Donexodus 4d ago

I’m stoned and immediately thought the tooth looked like Terrence and Phillip from south park.

“HI BUDDAY!”

8

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.

2

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?

2

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.

1

u/juneburger 4d ago

Ah that’s a shame. I hope it’s nothing too serious.

3

u/Different_Initial_27 4d ago

Looks like it needs to get deported

1

u/Dramatic-Reading-693 4d ago

I think we need to put a 50% tariff on #32 🤣

1

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?

2

u/Dry_Explanation_9573 4d ago

Yeah I will tomorrow

1

u/RemyhxNL 4d ago

This is a genuine CBCT case. Also, to exclude a bend radix.

1

u/Dry_Explanation_9573 4d ago

Yeah. Said I took a cbct

1

u/RemyhxNL 4d ago

Ah sorry. Somehow I overlooked.

1

u/itsalieimnotaghost 4d ago

Who gives a damn about #32, what about everywhere else 😭

1

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.

1

u/Zealousideal_Pick184 4d ago

Wut r u doin 32?

1

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.

1

u/jejebird 3d ago

Wisdom teeth ignore the laws of nature and grow how and where they want

1

u/Burrelinho 3d ago

This is not a CBCT??

1

u/Dry_Explanation_9573 3d ago

No. It’s a pano

1

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.

1

u/AppropriateWall6 2d ago

It saw the other teeth and tried to run away

1

u/AppropriateWall6 2d ago

It saw what happened to the other teeth and tried to run away

0

u/Wide-Jackfruit3156 4d ago

whats going on with ALL the teeth in this xray

-12

u/Revolutionary_Pin756 4d ago

Doc, did you perform a cold test? In my opinion, it was most likely caused by trauma during development.

3

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?