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With restoration of #30 implant, the symptom of #19 disappears until now (Fig.2). He had had pain immediately before the crown of the tooth #19 was dislodged with fracture of build up. There is enlarged periapical radiolucency of the mesial root (*) with possible root fracture (arrowheads).
There is increase in the periodontal ligament associated with the tooth #18 (*).
With the increase of the periapical lesion of the mesial root of the tooth #19, the mesial alveolus is narrower than the distal (blue dashed line).
Yellow dashed line: the upper border of the Inferior Alveolar Canal.
Xin Wei, DDS, PhD, MS 1st edition 03/25/2015, last revision 03/26/2015