۱) Radiograph Teet

۲) Vitality Test

۳)Biopsy  

۴) Bone Scan of the Mandible

 

اما گرینه درست  Vitality Test and the results are:

tooth #23 - tests vital
tooth #24 - tests non-vital
tooth #25 - tests vital
tooth #26 - tests vital

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Question 2

You take a mandibular anterior periapical radiograph of teeth #23, #24, #25 and #26. Make a short description of the resultant film shown below
Large 10mm x 4mm round very translucent lesion is noted within the alveolar bone. Borders are well defined but not corticated. Lesion involves the root of tooth #24. Alveolar bone around the lesion appears to be within normal limits From what you already know generate a differential diagnosis for this case. Below are some possible conditions in alphabetical order.

Possible conditions:

• Central giant cell granuloma
• Dental abscess
• Dental granuloma
• Non-odontogenic lesion, etc.
• Radicular cyst

که بیشترین شباهت‌ را‌ میتوآن‌ در‌ دنتال گرانولوما‌ دید بعد در‌ رادیکولار‌ کیست و بعد دنتال‌ ابسه و در‌ نهایت‌ هم در  Non-odontogenic lesion

بر اساس تشخیص های متفاوت به نظر شما بهترین راه درمانی کدام است؟

۱) Refer to an oral surgeon

Bone scan of mandible(۲

Biopsy of the lesion(۳

۴)Endodontics

بهترین راه درمانی اندودنتیکس است    Endodontics on tooth #24

A decision was made:
A general dentist performed a standard root canal on tooth #24. He assumed he was dealing with the sequela of a non-vital tooth. In addition, he made sure to take a follow-up radiograph in 6 months to confirm his differential diagnosis

Six months later a periapical radiograph was taken. Evaluate the radiograph below

به نظر شما Is the lesion healing

Was the diagnosis correct

Was the treatment correct

جواب برای هر سه سوال بله است.

و در نهایت اینکه 

This case represents excellent diagnosis, decision-making, treatment and outcome. The patient was very happy. No unnecessary procedures were performed