Diagnosis of Enigmatic Non-Odontogenic Bony Pathology-Do Endodontist Have Any Role?

The oral cavity is a reflection of our body. Pain in oro-facial region is complex, distressing condition which frequently overlaps with various surgical and medical disciplines. Accurate diagnosis may turn out to be challenging for experienced clinician as well and Non-odontogenic toothache is one such entity. A misdiagnosis can lead to unnecessary treatment for the patient. One of such entity is osteomyelitis having radiographic similarity with periapical radiolucency during its initial stage. Often such situation can lead to inaccurate diagnosis during dormant stage. Though due to advancement in medicine the incidence of osteomyelitis had a great decline still it can be an enigma to an endodontist in diagnosing the condition. We hereby report one such condition encountered in the department of Conservative dentistry and emphasizes on a multidisciplinary approach, highlighting the importance endodontist in diagnosis of an rare entity osteomyelitis its features and diagnosing such situation during our routine clinical practice.