Post by Dr. Debkalpa Nath

Clinical Case Snapshot | Chronic Periapical Pathology A patient presented with a chief complaint of pain in the lower left posterior tooth region. The pain was mild, continuous, non-radiating, aggravated on mastication, and relieved by medication. Clinical examination revealed a grossly decayed tooth irt #36. Radiographic evaluation using RVG revealed a well-defined periapical radiolucency associated with the mesial root of a mandibular molar, suggestive of a periapical granuloma with associated external root resorption. The distal root demonstrated periapical sclerosis, indicative of a reactive osseous response to chronic low-grade inflammation. This case highlights the varied radiographic manifestations of chronic periapical disease, where both resorptive and sclerotic changes may coexist around different roots of the same tooth. Careful correlation of clinical findings and radiographic features remains essential for accurate diagnosis and treatment planning. #Dentistry #Endodontics #RVG #PeriapicalGranuloma #DentalRadiology #ClinicalCase #DentalEducation #OralDiagnosis