One year resilon follow up - Condensing osteitis
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where they are. - www.rxroots.com photographs courtesy: Gary L. Henkel |
From: Gary L. Henkel
To: ROOTS
Sent: Tuesday, September 16, 2008 12:17 AM
Subject: [roots] 1 YEAR RESILON FOLLOWUP
I have this patient in today to with a resilon treated fill from one year ago. Note the healing.
Anyone want to hazardous a guess other than condensing osteitis for the radioopacity in the
extracted molar region? - Gary
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
