Medical Case Details:
72 years old female patient presented with complaint of pain in lower left back tooth region since few days. examined her on video call. It seemed to be a huge mass of calculus in relation to lower left canine impinging alveolar ridge in relation to lateral incisor. Lower arch has only canine and first second premolar on left side and on right side also canine n premolars are there.Patient had severe pain. prescribed her with antibiotics n anti inflammatory.
patient has relieve from pain. patient is chronic diabetic n has cardiac stent also.
please suggest probable differential diagnosis. can I proceed with dental extraction n calculus removal under antibiotic coverage. what else could be the probability other than calculus.
the solid mass is off white and hard.
Discussions
Dr. Shital Harikishan Khandelwal
Dentist
As u said it can be calculus .ask the patient for x-ray ,if there is none loss also u can get it extracted under antibiotic cover
Dentist
As u said it can be calculus .ask the patient for x-ray ,if there is none loss also u can get it extracted under antibiotic cover
▲ 1
23.Jul, 03:33pm
Dr. Shipra Chaudhary
Dentist
Dr Deepti,
Ask for xray.
Check for halitosis.
Investigate the lower arch. See if at all extraction helps your patient. Get extraction done only if she gets a denture fitted. Because otherwise her upper teeth will impinge on to lower jaw if you remove all her lower teeth.
Dentist
Dr Deepti,
Ask for xray.
Check for halitosis.
Investigate the lower arch. See if at all extraction helps your patient. Get extraction done only if she gets a denture fitted. Because otherwise her upper teeth will impinge on to lower jaw if you remove all her lower teeth.
▲ 1
29.Jul, 10:55pm
Dr. Bharat Joshi
Dentist
Iopa required to confirm. if confirmed have sugar controlled and proceed for extraction
Dentist
Iopa required to confirm. if confirmed have sugar controlled and proceed for extraction
31.Jul, 12:26pm
Dr. Sai Shreya
Dr Deepthi,
Ask the patient regarding the history of cardiac stent placement and if the patient is on any medication currently for it? A physician's consult might be advisable. Get a radiograph to confirm. Then check the blood sugar level, if it's normal you can proceed with the extraction under antibiotic coverage.
Dr Deepthi,
Ask the patient regarding the history of cardiac stent placement and if the patient is on any medication currently for it? A physician's consult might be advisable. Get a radiograph to confirm. Then check the blood sugar level, if it's normal you can proceed with the extraction under antibiotic coverage.
01.Oct, 08:14pm
