Radiology · single question

A patient presents with a mobile post-core-crown restoration. What is the most appropriate FIRST step in management?

  1. Immediately extract the tooth
  2. Take a periapical radiograph to assess the post, root, and surrounding bone
  3. Re-cement the crown without evaluation
  4. Refer for implant placement
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Correct answer: B. Take a periapical radiograph to assess the post, root, and surrounding bone

Before any treatment decision a periapical radiograph is needed to determine the cause of mobility (fractured root, failed post, lost ferrule, or periodontal/periapical bone loss), which dictates whether the tooth is restorable.Other options: Extraction, re-cementation, or implant referral are premature without knowing the cause; re-cementing over an undiagnosed root fracture would fail.Key exam takeaway: Diagnose before you treat: radiograph first to rule out root fracture and assess restorability.

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