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Bone loss in the oral cavity can be caused by many things such as infections, periodontal disease, the way your bite/occlusion is, also grinding your teeth, trauma to the tooth, certain medications and medical conditions. However usually bacteria plays the biggest role in dental and teeth bone loss. You should see a Periodondist and/or Endodontist for complete evaluation. Also infections usually show on the x-ray, but not always. Sometimes an Endodontist has to perform different tests on the tooth to see if the nerve is infected if the x-rays are not showing an abscess.

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Q: What causes loss of bone at tip of root canal when no abscess is present?
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