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Old 08-06-2015, 09:53 AM
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Bryanna Bryanna is offline
Grand Magnate
 
Join Date: Feb 2007
Posts: 4,624
15 yr Member
Bryanna Bryanna is offline
Grand Magnate
Bryanna's Avatar
 
Join Date: Feb 2007
Posts: 4,624
15 yr Member
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Hi woodfly,

Glad to hear that you had an abscessed tooth removed and as you now know, not all infections show up radio graphically.

Thank you for posting the xray.

The filling material on the molar looks to be amalgam and there are light shadows underneath 2 areas of the filling that may be decay. They are very light and may show up more clearly on a different xray called a bite wing.

The filling material on the root canaled pre molar appears to be metal, may be amalgam or gold on the distal portion and composite or temporary material on the remainder of it. There is a void, most likely decay, in the center portion of this tooth where the access hole was made to do the root canal procedure. It is the half moon shape you see in the center where the root canal filling material (gutta percha) begins. This area of decay is progressive.

Sometimes the angle of which the film was taken is off a bit and the anatomy is distorted. However, on this xray both of these teeth appear to be in close proximity to the sinus. There could be a fracture or something happening at the apex of the rc premolar and it's questionable if there is pathology in the bone.

There is also possible decay interproximally on both the mesial and distal of the first premolar.

What has your dentist diagnosed from this xray and from his clinical examination?

Bryanna

Quote:
Originally Posted by woodyfly View Post
I'm considering extracting all my root canaled tooth. I had one pulled 2 days ago. The xrays did show a darkening area at the root of the tooth but we couldn't tell what it was exactly. I took the risk and extracted it. Turns out the tooth was fractured and also had a 10 year abscess.

I'm now also considering getting rid up the upper right root canaled tooth.
1. Can anyone check out this xray and let me know if you see anything?
2. Can you tell what kind of fillings I have from the xray?
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Bryanna

***I have been in the dental profession for 4 decades. I am an educator and Certified Dental Assistant extensively experienced in chair side assisting and dental radiography. The information that I provide here is my opinion based on my education and professional experience. It is not meant to be taken as medical advice.***
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