For condensing osteitis that is asymptomatic, which management is appropriate?

• A. Monitor
• B. Endodontics or extraction
• C. Pocket elimination
• D. Removal of inflammatory etiology if symptomatic

Answer: (A)

Condensing osteitis in an asymptomatic tooth is managed with observation and regular follow-up. This radiographic finding reflects a bone reaction to chronic, low-grade inflammation around a non-vital tooth, and when there are no symptoms, aggressive intervention isn’t needed. Monitoring the tooth with periodic clinical exams and radiographs allows you to catch any signs of progression or the development of symptoms that would prompt definitive treatment, such as endodontic therapy to remove the inflammatory source or extraction if the tooth cannot be saved. Procedures aimed at periodontal pockets aren’t relevant, and removing the inflammatory source is reserved for when symptoms are present.