My x-ray shows a radiolucent area around the molars of the mandible, with no pain. Please help.

Hi,

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The lesion shows radiolucency in the second premolar and the first and second lower molar. In my opinion, it is concerned you need to visit an endodontist. The root canal treatment is the best choice in the first place; most of the time, cystic lesions heal with such intervention if they are asymptomatic. Also, the lesion is not so significant to cause any fracture of the mandible. In case of root canal treatment will not work; you can remove teeth, not all of them, but the first molar to create a window. So kindly visit an endodontist and decide the further course of action before you go for surgical removal.

Hi,

Welcome back to icliniq.com.

Even in the case of surgical curettage, it is not necessary to remove all the teeth involved. Traumatic bone cysts are very rare and could be a cause in your case because all the teeth are vital as per your clinical experience. In such a case, the treatment is surgical exploration and to get access through a tooth socket because there are chances of damage to the inferior alveolar nerve. Wait and watch through repeated x-rays are essential in traumatic bone cyst because it is asymptomatic and not too big to cause any harm in your case. If you want to get rid of it, immediately visit an endodontist, take his opinion and then go for the surgical exploration, but make sure all the three teeth do not need to be removed.