If there is radiolucency next to a premolar, what should you do?

When encountering radiolucency next to a premolar, referring to oral surgery is appropriate because the presence of radiolucency can indicate an underlying issue such as an abscess, cyst, or other pathologies that may require surgical intervention for precise diagnosis and treatment. Oral surgeons have specialized training in managing complex issues within the oral cavity and can perform necessary procedures that may involve removing lesions, draining abscesses, or further evaluating the cause of the radiolucency through imaging or biopsy.

While other actions could involve managing symptoms or performing minor treatments, they may not adequately address the root cause of the radiolucency. For instance, incision and drainage can help manage an abscess but does not provide a complete diagnosis of the problem or ensure comprehensive treatment. Referral to an endodontist would be appropriate for specific pulp-related issues, yet a broad evaluation from an oral surgeon is often the best course to ensure all potential complications are assessed. Leaving it alone can lead to the progression of the problem, which is not advisable in dental practice.

Thus, referring to oral surgery offers a pathway to comprehensive evaluation and treatment appropriate for the identified radiolucency next to the premolar.