Thank you for the query. A shadow under a tooth in a radiograph, as per your description, probably means a darker area in the x-ray. Such darker area in a radiograph usually means that the area is devoid of bone or calcifiec content. When it comes in relation of a tooth it may indicate that it could be an abscess, a cyst or so many things even it could be a artifact i.e. fault shadow in the x-ray. It is impossible to diagnose such 'shadow' in your radiograph in this forum, without seeing the radiograph and having known a good history of the problem.If you are able to write a history and send a picture of the radiograph in HCM, we can try to diagnose the problem. Otherwise please consult her oral surgeon as per the said programme to reach to a diagnosis. Thank you.

Dear friend.

Thanks for sharing your concern.

Many a times only x ray findings does not make a diagnosis,it requires clinical evidence too.

Therefore the shadow could be an artifact, or a radio graphic error.

please do not be worried, let all the reports come,so that final diagnosis can be made.

Hope i have answered your query.

Thanks.

Take care.

Dear friend,
if your dentist and an endodontist has ruled out the abscess, then a further pathological investigation is required for proper diagnosis. Radiographic investigations like OPG or an intra-oral radiograph which were used to rule out abscess is required along with symptoms of the patient for provisionally diagnose the same. If you can provide me with the same , I can further help you out for provisional diagnosis before carrying any other further investigation.

Hello,

Shadow under the tooth can be either due to abscess developed or anatomical landmark.

Please do visit a dentist and get clinical as well as radiological examination done.

Abscess if underlying has to be drained and curetted.

Take complete course of amoxycillin along with analgesics.

Maintain oral hygiene well.

Take care.

Hi,
welcome to HCM forum...
Shadow about which you are talking is caries.
As your endodontist has investigated the tooth, might be her caries is very deep involving furcation area. That's why she is referred to an oral surgeon so that it can be judged whether tooth can be saved or not. Treatment options for your tooth is root canal treatment in which the infected pulp(blood) of tooth will be debrided and abscess will heal but if it can not be saved then extraction will solve your problem.
TAKE CARE

hi...
thanks for the query...
well the radiolucency (shadow) you mentioned can be an abscess, cyst or can be an artifact also... proper clinical examination is required...
is your friend experiencing any pain..?? please mention...
if the tooth involved is grossly carious or having any kind of gum infection, then its most probably an abscess...
dont ignore it as it is indicating bone resorption in the area... so go for the treatment...
and don't worry also... it wont bother you and will decrease to some extent after proper treatment of the tooth involved...
hope it will help you...
take care...

Hi,

Thanks for aksing the query,

Any dark shadow under the tooth can be a abscess or a cyst other than this can be a artifact or an radiographic error.
A complete clinical and radiological evaluation is necessary for the approppraite diagnosis and treatment planing.
I would suggest you to consult to the Oral Surgeon get the thorough checkup done and plan for the treatment.

Hope this helps out.

Regards..