Huge dental calculus (Dentistry)



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.



    Dr. Shital Khandelwal

    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

    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. Deepti Jakhmola

    Thanks Doctors for your valuable advise.

    30.Jul, 11:27am

    Dr. Bharat Joshi

    Iopa required to confirm. if confirmed have sugar controlled and proceed for extraction

    31.Jul, 12:26pm

    Dr. Loganathan.s

    Any clinical picture please

    04.Aug, 10:05am

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