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Case 103773

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Referral category

Dental implants

Region of interest

22/23

Referral reason

[Only visible to logged-in users]

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Canaray 103773

2. Mature periapical osseous dysplasia in association with tooth 24P

There is an irregular focus of amorphous bone located periapical to the palatal root of tooth 24, which appears to be surrounded by a radiolucent lining that is further surrounded by a margin of slightly sclerotic bone. These findings are consistent with a mature focus of periapical osseous dysplasia, which does not require treatment.

1. Severe mesial dilaceration of tooth 24P

The palatal root of tooth 24 is severely dilacerated in a distal direction, and extends into the edentulous site 23. Tooth 24 appears normal otherwise, and does not exhibit any signs of endodontic or periradicular pathology.

Buccal bone graft at site 22

A bone graft is present along the buccal aspect of the alveolar process of site 22. This graft appears to be stabilized by a fixation screw, and demonstrates adequate osseointegration.

3. Mature periapical osseous dysplasia at site 22

The mature focus of periapical osseous dysplasia associated with the palatal root of tooth 24 is located within the alveolar process of site 22. Implant placement through this region of dysplastic bone is contraindicated due to the reduced vascularity in this region, which could compromise healing and increase the risk of post-operative infection.

4. Healing post-surgical appearance in anterior left maxilla

A moderately well-defined region of granular bone is present in the anterior left maxilla, which extends from the distal aspect of tooth 21 to the periapical region of tooth 25, and from the alveolar crest to the floor of the nasal fossa. This region of irregular bone pattern does not exhibit any effects on its surrounding structures. This likely reflects healing following surgical removal of an impacted tooth 23, which is a non-significant finding. However, correlation with the patient's dental history is necessary to substantiate this interpretation.

Axial views of the anterior left maxilla

These axial cross-sectional images demonstrate the presence of a moderately well-defined region of granular bone in the anterior left maxilla, which likely reflects post-surgical healing following removal of an impacted tooth 23. Also note the presence of a mature focus of periapical osseous dysplasia at site 22, which appears to be associated with the mesially dilacerated palatal root of tooth 24.