Radiology · single question
What is the KEY test to differentiate condensing osteitis from idiopathic osteosclerosis?
Show answer and explanation
Correct answer: A. Tooth vitality testing
- A. Correct. VITALITY TESTING is the key differentiator. Condensing osteitis: reactive bone from low-grade pulpal infection → associated tooth is NON-VITAL. Idiopathic osteosclerosis (dense bone island): adjacent tooth is VITAL with NO pulpal pathology. Simple cold/EPT testing resolves the diagnosis.
- B. Incorrect. CBCT provides anatomical data but cannot determine tooth vitality.
- C. Incorrect. Biopsy is invasive and rarely needed when vitality testing gives the answer.
- D. Incorrect. Both appear radiopaque and cannot be differentiated by density alone.