What is the recommended treatment for an asymptomatic tooth (#10) with a crown and a periapical radiolucency (PARL)?

What is the recommended treatment for an asymptomatic tooth (#10) with a crown and a periapical radiolucency (PARL)?

• A. Extraction
• B. RCT
• C. Observation
• D. Apicoectomy

Answer: (B)

The recommended treatment for an asymptomatic tooth with a crown and a periapical radiolucency (PARL) is root canal therapy (RCT). This approach is appropriate because the presence of a PARL indicates that there may be inflammation or infection at the root tip, which typically requires intervention to prevent further complications or deterioration of the tooth. Root canal therapy is performed to remove the infected or necrotic pulp tissue, disinfect the root canal system, and ultimately seal it. This not only addresses the current pathological condition but also helps in preserving the tooth, particularly since the tooth is asymptomatic. Maintaining the tooth is preferable as it can function normally within the dentition and contributes to overall oral health. Other treatment options, while they may address certain scenarios in dental management, do not align with the current understanding of managing an asymptomatic tooth with a PARL. For instance, extraction would eliminate the tooth but does not rectify the underlying issue. Similarly, observation might not be suitable given that there is an identified pathology present. An apicoectomy is a surgical procedure that may be used in cases where RCT has already been performed and the condition persists; therefore, it is not the first line of treatment in this instance. Overall, RCT

The recommended treatment for an asymptomatic tooth with a crown and a periapical radiolucency (PARL) is root canal therapy (RCT). This approach is appropriate because the presence of a PARL indicates that there may be inflammation or infection at the root tip, which typically requires intervention to prevent further complications or deterioration of the tooth.

Root canal therapy is performed to remove the infected or necrotic pulp tissue, disinfect the root canal system, and ultimately seal it. This not only addresses the current pathological condition but also helps in preserving the tooth, particularly since the tooth is asymptomatic. Maintaining the tooth is preferable as it can function normally within the dentition and contributes to overall oral health.

Other treatment options, while they may address certain scenarios in dental management, do not align with the current understanding of managing an asymptomatic tooth with a PARL. For instance, extraction would eliminate the tooth but does not rectify the underlying issue. Similarly, observation might not be suitable given that there is an identified pathology present. An apicoectomy is a surgical procedure that may be used in cases where RCT has already been performed and the condition persists; therefore, it is not the first line of treatment in this instance.

Overall, RCT