History of Present Illness

This is a 12-year-old healthy Caucasian male who presented at his General Dentist office for a routine dental examination, radiographs and dental prophylaxis on 04/2004. The Panoramic x-ray revealed a deep, radiolucent area of bone loss at the distal of tooth # 31 (Fig 1) that extended distally to the follicular sack surrounding the developing crown of tooth # 32. The asymptomatic, periodontal pocket measured 10 mm along the disto-buccal of tooth # 31, which prompted the dentist to refer the patient for periodontal evaluation and treatment.

Figure 1.  A curved line along the buccal aspect of tooth #31 corresponding to the 10 + mm pocket clinically detected along the distobuccal aspect of this tooth.