A female patient aged 45 years has multiple non-carious lesions and c/o sensitivity. On examination deep cervical abrasions are seen in all posterior teeth. Intra oral sinus is evident w.r.t. 24 & 25. Gingival recession is present in mandibular anterior teeth with gingival inflammation and bleeding on probing. What is the treatment required for 24 &25
**Core Concept:** Oral lesions, dental caries, and periodontal diseases are common oral health issues requiring proper diagnosis and treatment.
**Why the Correct Answer is Right:**
The correct answer is **D.** The patient presents with multiple non-carious lesions, gingival recession, gingival inflammation, and intraoral sinus formation on teeth 24 and 25. These symptoms are indicative of a dental caries or dental abscess involving teeth 24 and 25.
**Why Each Wrong Option is Incorrect:**
A. This option is incorrect since the patient does not have carious lesions but rather non-carious lesions, which are unrelated to dental caries.
B. Although gingival recession and inflammation are present, the absence of carious lesions and intraoral sinus formation makes this option incorrect.
C. The presence of intraoral sinus formation and dental caries makes this option incorrect, as it does not address the specific problem on teeth 24 and 25.
**Why the Correct Answer is Right:**
The correct answer (D) is right because the patient has dental abscess formation on teeth 24 and 25, which is characterized by the presence of intraoral sinus formation. This indicates a deep carious lesion involving the pulp, leading to abscess formation. The patient also presents with deep cervical abrasions in all posterior teeth, which may have caused the intraoral sinus formation due to the deep carious lesion and associated pulpal involvement.
**Why Each Wrong Option is Incorrect:**
A. This option is incorrect as it focuses on non-carious lesions and does not address the intraoral sinus formation and dental abscess on teeth 24 and 25.
B. Although gingival recession and inflammation are present, this option does not address the intraoral sinus formation and dental abscess formation on teeth 24 and 25.
C. This option discusses carious lesions but does not address the intraoral sinus formation and dental abscess formation on teeth 24 and 25.
**Clinical Pearl:**
In cases of intraoral sinus formation and dental abscess formation, it is crucial to perform root canal treatment (RCT) to address the deep dental carious lesion causing pulpal involvement and sinus tract formation. Incomplete treatment or attempting to manage the issue with conservative dental procedures may lead to further complications and chronic infections, emphasizing the importance of proper diagnosis and treatment planning.