When looking at out of place dental radiolucencies, check for enamel abnormalities e.g enamel fractures that may be on the strangest places and can appear to be carious on the x ray. Radiolucent areas under restorations may be voids or bases.

Track cracks with your probe. Separation indicates a need for intervention and if they track subgingivally on the most posterior tooth this requires referral to an endodontist to assess the tooth for suitability for restoration.

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