What is the appropriate next step if there is radiolucency next to a premolar?

When radiolucency is observed next to a premolar, this finding often suggests a potential underlying problem such as a dental abscess, periodontal disease, or some other type of pathology that may need intervention. Referring to oral surgery is the appropriate next step because this specialist can perform a thorough evaluation and provide necessary treatment based on the specific condition contributing to the radiolucency. This might include surgical intervention such as drainage of an abscess, removal of an infected tooth, or addressing any significant periodontitis that is associated with the findings.

Taking a wait-and-see approach with monitoring may overlook a serious issue that could worsen over time. Starting antibiotic treatment might address an infection but does not resolve the underlying cause of the radiolucency. Similarly, performing a root canal could be necessary if the tooth is determined to be non-vital, but this decision should be made after a comprehensive evaluation, ideally in consultation with an oral surgeon who can assess all aspects of the patient's condition effectively.