Radiology · single question

A 50-year-old has anterior pain, a 7 mm mesiobuccal pocket on #9, a short thick post deviated mesially, and slight bone radiolucency very close to a possible perforation. What should the dentist do?

  1. Root canal retreatment
  2. Replace crown and post
  3. Extraction and implant
  4. Crown lengthening
Show answer and explanation

Correct answer: C. Extraction and implant

  • A. INCORRECT. Retreatment is unlikely to succeed given the deep pocket and near perforation.
  • B. INCORRECT. Replacing the post risks completing the perforation and does not resolve the periodontal defect.
  • C. CORRECT. A deep isolated pocket with bone loss and an imminent perforation carries a hopeless prognosis, favoring extraction and implant.
  • D. INCORRECT. Crown lengthening does not address the perforation or hopeless support.

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