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Not every sclerotic lesion is innocent. At first glance, this high-density periapical finding near #31 looks like a classic dense bone island (idiopathic osteosclerosis) — a common incidental radiographic finding that usually requires no treatment. But this case shows why CBCT matters. On the coronal view, the lesion demonstrates: - intimate attachment to the buccal cortex - proximity to the distal root of #31 - external root resorption - possible extension toward the mandibular canal Root resor
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