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Searching: healthy gum
Results: 38
Message Board
Views: 265 | Replies: 7
Pt came in with complain of soreness of gums in front region Gums were healthy with pocket depth of no more than 4mm Took a PA and found this Pt had previous radiograph on file taken by some other dentist in office, but no note on radiolucent line I think it has increased in size since last time
August 05, 2016
Radiographic Diagnosis
Message Board
Views: 32 | Replies: 1
39y M dips otherwise healthy. Noticed dark oval lesion on PA #9. Decided to take cone beam. There is some shot of erosion happening at the palatal. Asymptomatic by the way. Bifid nasopalatine canal.
February 04, 2026
Radiographic Diagnosis
Message Board
Views: 243 | Replies: 7
the pt that I did not find anything wrong with #2, probably the issue was with #3 gum infectionWill do a gum curettage at #3 and have her back in 3 weeks time for a review and do a full month check-up. I did mention to her that as she has just recently has a sinus flare-up and the roots of #2
September 27, 2018
Radiographic Diagnosis
Message Board
Views: 83 | Replies: 4
The patient doesnt have amalgam at the gum line and no evidence of amalgam tattoo on the gingiva, what could it be? Does that bone distal of the second molars look normal? I think that's a chunk of amalgam ...probably some flash from the filling that bone distal to the 2nd molar looks like bone that was placed in there after the wisdom tooth was removed...I could be wrong... Thanks
March 11, 2021
Radiographic Diagnosis
Message Board
Views: 120 | Replies: 3
Healthy 18 year old Black female. Check out these horizontal radiolucent striations running across the canine and first bicuspid. Incidental finding on a PA for a retained primary mandibular incisor. Not sure what these might be. Any thoughts? See the attached PA and Pan. Has anyone seen
May 13, 2025
Radiographic Diagnosis
Message Board
Views: 252 | Replies: 2
83 yo lady from South America. She has pain with the tooth. #15 middle half of the tooth shows radiolucency. Percussion sensitive, cold sensitive but not lingering pain. She reports that she has had the pain more than a yr. Clinical exam does not show any softness of the tooth under the gum
April 08, 2019
Radiographic Diagnosis
Message Board
Views: 133 | Replies: 9
Healthy 40 ish female. Unremarkable history, perfect health, a bit of wear. No complaints. I noted the lower right corner calcifications. Just wondering if I am missing something here. Any thoughts? Thats an area of carotid artery calcifications I was thinking the same, but I found it to be too
March 13, 2025
Radiographic Diagnosis
Message Board
Views: 116 | Replies: 5
Recent pan of a healthy 9 year old male. What could have caused the lower right 2nd molar to look the way it does? It looks well defined, with sharp boundaries, unlike caries or hypomineralization. Looks like the worst case of pre eruptive internal resorption Ive ever seen (PEIR). Also know
December 04, 2024
Radiographic Diagnosis
Message Board
Views: 389 | Replies: 5
the roots of 31 are not fully formed. PatDid you cold test any other teeth? The patient may have a very weak response to cold. A electronic pulp tester can give you a better picture of vitality, though it won't tell if you it's healthy or some type of pulpitis.No preop film and I did cold test 19-WNL
November 03, 2016
Radiographic Diagnosis
Message Board
Views: 115 | Replies: 4
on their gums. On the PA, it looks pretty calcified and that there has been some root resorption. The periapical lesions seems pretty apparent. Have you checked #10 too? Any history of trauma or severe movements with ortho? When in doubt, consult with endo Asymptomatic you said? I would put money
January 05, 2023
Radiographic Diagnosis
Message Board
Views: 177 | Replies: 5
Mid-50's healthy Caucasian female. Asymptomatic. Routine panoramic radiograph made, with only previous CBCTs that do not capture that far distally. How concerning is the radiolucency in the lower left? That is concerning. I would refer to an Oral Surgeon for an evaluation. Looks like a Stafnes
May 16, 2025
Radiographic Diagnosis
Message Board
Views: 188 | Replies: 2
? Monckebergs is more common in individuals with those comorbidities. You could notify their physician if not already aware. That's what I was afraid of. Yes, this 71 year old man is not a healthy individual. Thanks
March 31, 2023
Radiographic Diagnosis
Message Board
Views: 207 | Replies: 6
I'm attaching 2 panoramic images taken 6 years apart (top image is today, bottom is from May 2018). This RO area is apical to teeth 18/19, and appears to have changed a small amount between radiographs. The patient is in his mid-30's, healthy, and no symptoms associated with this area
May 15, 2024
Radiographic Diagnosis
Message Board
Views: 284 | Replies: 8
Pt is 54 yof with hx of thyroid cancer and radioactive iodine tx, followed by onset of sarcoidosis. A couple of months ago she noticed a bump on the gums on the tongue side 28 - hard bony nodule 5x5mm on lingual 29 - same thing on buccal Teeth test normal to cold, no percussion sensitivity
June 21, 2017
Radiographic Diagnosis
Message Board
Views: 431 | Replies: 7
Saw this patient, healthy 14 year old with previous history of orthodontics. #3 (upper right 1st molar) is asymptomatic. In talking with the patient and their parents, no known history of trauma. #3 is below the plane of occlusion. Tooth has no visible signs of decay, periodontal disease
May 24, 2014
Radiographic Diagnosis
Message Board
Views: 371 | Replies: 12
the rubber dam was on and pushing the gums down prior to the prep. Thankfully the caries didn't go into the RC! Thanks for all the comments and advice! Well that's a huge relief.
August 21, 2019
Radiographic Diagnosis
Message Board
Views: 88 | Replies: 1
66 y.o., healthy, asymptomatic male. Nothing appreciated clinically. Thoughts on right superior body of mandible area opacity? The radiopacity is a large tonsillolith. They are not usually so large. Often asymptomatic, but the patient might report halitosis upon questioning. Here is a published.
May 18, 2020
Radiographic Diagnosis
Message Board
Views: 111 | Replies: 4
This is from a healthy 40 year old male. Note the calcifications on L/R body of mandible area. Sialolithsis? Pt has no symptoms,,,mouth has normal wetness. Any thoughts? Thanks... Tonsilloliths....Thanks,...Phleboliths or more likely parotid sialoliths. No sx no worries.
August 30, 2018
Radiographic Diagnosis
Message Board
Views: 80 | Replies: 0
Patient came in to our satellite clinic today asymptomatic except for some food impaction between #18/19. He is coming into town for a panorex on Monday. 60 year old healthy male, any preliminary ideas prior to the panorex?
January 19, 2017
Radiographic Diagnosis
Message Board
Views: 156 | Replies: 5
Hello Everyone I saw this 70 yr old healthy patient and have no past pan to compare this to, but i see a mixed radiopaque/radiolucent area in the 3 quad quite far back and deep in her ramus on the inferior border/corner and wasnt sure if i should refer her to get a CT done or if its just
November 15, 2020
Radiographic Diagnosis
Message Board
Views: 225 | Replies: 3
Pt presents with pain on #30. 31 test normal, 30 is necrotic. No swelling, exostosos or tori. What is the opacity around 31? Can you tell us more about the pt. Age, sex, etc. Looks like a cementoma.43 y/o healthy female. Current smoker, pack a day for several years. Wears a complete upper
May 19, 2015
Radiographic Diagnosis
Message Board
Views: 310 | Replies: 5
Hi everybody. There seems to be some sort of round mass on the floor of the maxillary sinus left side, just apical to 14, 15, 16. Totally asymptomatic, just a random finding. Panorama was taken prior to wisdomteeth removal. Patient is a healthy 20 year old female. Anybody have an idea what
February 20, 2017
Radiographic Diagnosis
Message Board
Views: 367 | Replies: 4
48 y/o male, h/o testicular cancer 10 years ago had radical bilateral orchiectomy (both testicles removed) and radiation. Otherwise healthy and completely asymptomatic. What is your differential for the radiopacity on the L side near the inferior alverior foramen? I palpated the cheek, buccal
December 25, 2016
Radiographic Diagnosis
Message Board
Views: 149 | Replies: 2
Incidental Pano Finding on an otherwise healthy 35 year old female. Asymptomatic and nothing noted on palpation of the LL area. What could this be? Should I have her evaluated by an OS? I can tell you what I think based on its shape and location but I would love to see a better quality pano
October 28, 2016
Radiographic Diagnosis
Message Board
Views: 221 | Replies: 1
22 yo healthy male, hasn't seen a dentist for several years. The pan shows this diffuse radiopacity superimposed over the left coronoid process and maxillary tuberosity. Nothing palpable intra or extraorally, asymptomatic. If I had to guess I'd say calcifications within the parotid. When you find
December 21, 2017
Radiographic Diagnosis
Message Board
Views: 228 | Replies: 7
it is a bit more challenging to restore with a good contuor. Looks like a mesial concavity to me. If there was decay that large, then your explorer would easily be able to detect that. Watch and move on. +1, looks like the weird MB notch you see in healthy laterals sometimes Thank you all for your
October 05, 2020
Radiographic Diagnosis
Message Board
Views: 95 | Replies: 4
third molar distally)What other possible interpretation can you find and how about the management of both conditions?Thank you in advance. Id check for cracked tooth syndrome first. If teeth test healthy, my next thought would be a sinus infection or allergies. Sinus infections/allergies can produce
July 02, 2023
Radiographic Diagnosis
Message Board
Views: 44837 | Replies: 1501
as the resulting defect was large after removing both teeth. Healthy 75 year old male. No problems, pain, or disfunction. Opens >40mm. Occasional click on right side. Motorcycle accident when in military years ago. Jaw wired shut. Check out that condyle! Amazing adaptation. 37 yo male on fosomax
February 28, 2019
Radiographic Diagnosis
Message Board
Views: 889 | Replies: 11
the image a bit. ***Update*** We are scheduled for a consult, CT scan, and sedation Biopsy on Monday. Do any of you OMFS guys have reservations with IV sedation in office with a three year old healthy average weight female? Or would you prefer GA in a hospital setting? marking. keep us posted
May 29, 2016
Radiographic Diagnosis
Message Board
Views: 44837 | Replies: 1501
case why don't we do a TMJ smiley. Wow. Did that progress quickly or was it like that for a long time? I've got a healthy teenage female. No symptoms. Ortho and us have been watching #19/20 area. Guessing idiopathic osteoschlerosis? For schure. agree, probably idiopathic
March 18, 2019
Radiographic Diagnosis
Message Board
Views: 44837 | Replies: 1501
immunocompromised patients (in the perineum no less...never complain that physicians have it better than us). This was a younger, relatively healthy, individual who's only vice was smoking. Untreated or not treated promptly enough this essentially equals death (mortality ~75% in improperly treated
March 22, 2018
Radiographic Diagnosis
Message Board
Views: 749 | Replies: 36
, don't need films for that. I disagree with your standard of care statement since it does not agree with the ADA guidelines. Pano or FMX are recommended only when indicated by risk factors, clinical evaluation, and judgement, not for healthy folks with no significant history of disease. Nice you
May 23, 2018
Radiographic Diagnosis
Message Board
Views: 44837 | Replies: 1501
undereducated guess, M. . . . What a great thread! Thanks for taking the time. I'm still working on reading through but thought I'd post this one I had: Male in mid 30's. Healthy with no symptoms. Routine pano for 3rds. Good eye. So the sinuses had some issues that would need to be addressed
April 11, 2018
Radiographic Diagnosis
Message Board
Views: 44837 | Replies: 1501
healthy female, Pan was taken at a previous office (2016). Patient didn't remember any discussion around it (she honestly probably forgot). PA taken today in our office after seeing the pan. It looks as if the lesion has calcified through the last 3 years. Ddx: CEOT, ?? Sent off to my OMFS
November 08, 2019
Radiographic Diagnosis
Message Board
Views: 4284 | Replies: 94
. Thank you!! I'm in the boat of everyone that says Fl tx and monitor I think its important to remember that while a majority of our fillings go fine (no sens, gums are fine, don't nick the tooth next to it, no issues with anesthetizing) there is a Risk and Benefit to be considered every time we offer
October 12, 2016
Radiographic Diagnosis
Message Board
Views: 44837 | Replies: 1501
. But i'm no oral surgeon. Justin Alright, young individual here with a complaint of left-sided openbite and bleeding gums around 28-29. First pan is from a few years ago Pa and BWx were from around a month before extractions And last panoramic was 2 days after extraction
May 22, 2019
Radiographic Diagnosis
Message Board
Views: 44837 | Replies: 1501
owned this one and apparently protecting their turf is more important than providing the best care available. Thanks for making us look at these images with a closer eye. Here's one today that made my eyes squint: 61 year old male, healthy no history of heart disease. Is that carotid calcifications
April 24, 2018
Radiographic Diagnosis
Message Board
Views: 44837 | Replies: 1501
of the extractions and the previous dentist not removing the lesion adequately. This needs to be removed and biopsied but, this mandible is begging to fracture. This exceeds the hassle factor. Refer and request progress reports. 16 yr old male asymptotic, healthy no caries. Any thoughts on this? Sent
October 15, 2019
Radiographic Diagnosis
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