Huge dental calculus

Deepti Jakhmola., BDS
 

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

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.

29.Jul, 10:55pm

Dr. Deepti Jakhmola
Dentist

Thanks Doctors for your valuable advise.


30.Jul, 11:27am

Dr. Bharat Joshi
Dentist

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

31.Jul, 12:26pm

Dr. Loganathan. S
Oral And Maxillofacial Surgery

Any clinical picture please

04.Aug, 10:05am

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.

01.Oct, 08:14pm

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