Film radiograph sent with patient upon referral.

Slight swelling in the unattached gingiva at the junction of the attached and unattached mucosa. Limited subjective symptomatology.

A CBCT scan was acquired and an anatomic slice presents:

The anatomic view displays a clear fenestration at the level of the DB apex.

The axial slice confirms the apical loss of cortical tissue over the anatomic root end contributing to the subjective swelling.

The coronal slice of the MB root displayed below lends a radiographic sign of pulpal disease. Note the positional thickening of the antrum   Schdneiderian membrane.

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