Pt. with radiopacity in the Periapical area of 1st mandibular molar with wide carious lesion and bad periodontal condition is?
- A. Condensing osteitis
- B. Hypercementosis.
Based on the provided information, the most likely diagnosis is: B. Hypercementosis.
Here's why:
- Radiopacity in the periapical area:
This is a characteristic feature of hypercementosis, where excess cementum builds up around the tooth root, appearing radiopaque on an X-ray.
- Wide carious lesion:
While condensing osteitis can also occur with caries, the presence of a large, ongoing carious lesion is more suggestive of hypercementosis as a reactive response to the inflammation and irritation caused by the caries.
- Bad periodontal condition:
Hypercementosis can be associated with chronic periodontal inflammation, which aligns with the description of the patient's condition.
While condensing osteitis can also present with some of these features, the presence of a large active carious lesion makes it less likely. Condensing osteitis is usually a localized reaction to a chronic, low-grade inflammatory process, not a large, active carious lesion.
However, it's important to remember that definitive diagnosis requires a comprehensive clinical examination and interpretation of all available information, including additional X-rays or other imaging modalities. Consulting a dental professional is crucial for accurate diagnosis and treatment planning.
