First fill
From: Gary L. Henkel
To: ROOTS
Sent: Wednesday, September 10, 2008 5:39 AM
Subject: RE: [roots] First fill
Here’s my first fill today #30 not 29 or 31.
Yes, I do have 3 tiny voids! - Gary Henkel
Gary, it's it osteitis or is it some socket bone fill material? - Joey D
I believe it to be osteitis. She’s been a patient for many years and
we did not place anything in the ext. socket. - Gary
You nailed it Joey. - Guy
I'm NO path expert.
Do you have previous radiographs over a period of time? - Joey D
It can't be condensing ostitis then.....condensing ostitis has to be
related to a tooth.. Once the tooth is extracted, the nidus is gone. - Joey D
Condensing osteitis is a reaction to infection. It differs from other
periapical inflammatory diseases in that there is a bone production rather
than bone destruction. The result is a radiopaque lesion. This sclerotic
reaction is apparently brought about by good patient resistance coupled
with a low degree of virulence of the offending bacteria. It is more commonly
seen in the young and seems to show special predilection for the periapical
region of lower molars. The associated tooth is carious or contains a large
restoration. Whether or not the pulp is irreversibly diseased is not known.
Current level of knowledge suggests that the pulp is irreversibly inflamed.
Uncommonly, condensing osteitis occurs as a reaction to periodontal infection
rather than dental infection. Etiology: Infection of periapical tissues by
organisms of low virulence. Treatment: General protocol is to treat only
those cases which are symptomatic. This is done by endodontic therapy or
extraction. In those cases which are asymptomatic in which there is no
obvious caries in the associated tooth, we follow them with periodic x-ray
examination. Prognosis: In those cases in which the of fending tooth is
extracted, the area of condensing osteitis may remain in the jaws indefinitely.
Differential diagnosis: Idiopathic osteosclerosis and cementoblastoma - Gary
Gary, the problem is the opacity is now in the area of the where the tooth
was extracted. Typically condensing ostitis appears around the tips or mid
sections of roots where you have POE;'s. - Joey D
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