r/Dentistry • u/Specialist_Aioli1519 • 16h ago

Dental Professional What is this?

Post image

19 yo
No change since last x ray 2 years ago

9 Upvotes

91% Upvoted

18 comments sorted by

28

u/Toothoe 16h ago

Can't give a definitive diagnosis. Likely idiopathic osteosclerosis which is fine to monitor. If it starts changing then reevaluate.

1

u/Ev0dr0ne 15h ago

Would osteosclerosis absorb the apex like that?

7

u/Toothoe 13h ago

I don't think the apex is absorbed.

2

u/hsAus 7h ago

The pdl is intact

-5

u/Skywalker1095 14h ago

Yes, it can resorb roots.

20

u/kikorer7070 16h ago

Hypercementosis or cementoma?

8

u/Toothoe 15h ago

Definitely in the differential, I'd say root PDL looks intact instead of extending around the lesion like it would for hypercementosis.

4

u/shtgnjns 15h ago

PDL is visible within the opacity, and there is no lucent rim of the opacity. This is dense bone, not tooth structure, top differential would be Idiopathic osteosclerosis.

1

u/Shehani_Delamont 14h ago

was gonna say cementoma given the age, but could go either way tbh

5

u/RandomXO 15h ago

Although it’s likely idiopathic osteosclerosis, always a good idea to vitality test to rule out odontogenic pathology

2

u/Sweet_Arugula_8020 16h ago

following. what is the reccommended tx? hypercementosis?

4

u/Toothoe 15h ago

No treatment.

2

u/Sweet_Arugula_8020 13h ago

thank u tooth hoe! u are the man! or woman!

2

u/Micotu 13h ago

It's Toot Hoe.

2

u/gunnergolfer22 8h ago

Tooth farted

1

u/Then_Impression_2254 8h ago

Condensing osteitist

-2

u/Apprehensive_Bug4783 12h ago

could be cementoblastoma. Looks like it's expansile and may be affecting the root of #27. I'd refer to OS. May need to be extracted.

-6

u/I-Should_Be-Studying Dental Student 14h ago

Looks like a type of xray, most likely a panorama xray!

1

u/Micotu 13h ago

panarama, ding dong.