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.
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.
Disclaimer: All medical case discussions published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.