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Case 108363

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Referral category

Wisdom Teeth

Region of interest

CT scan of upper maxilla

Referral reason

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Canaray 108363

1. Normal site 18

The alveolar bone exhibits a normal appearance at site 18. The buccal and palatal cortical plates, sinus floor, and alveolar crest are intact. There is no evidence of a persistent extraction socket or intraosseous pathology.

2. Exposed threads on implant 17

The coronal half of the buccal and distal threads of the implant at site 17 are not embedded in bone. The remainder of the implant appears normal.

3. Rarefying osteitis on tooth 27P

Periapical rarefying osteitis is present at the palatal root apex of tooth 27. This is suggestive of the presence of persistent periapical pathology. The possibility of an unfilled canal within the isthmus between the buccal and palatal roots should also be considered. Clinical evaluation of tooth 27 is indicated.

4. Normal site 28

The alveolar bone exhibits a normal appearance at site 28. The buccal and palatal cortical plates, sinus floor, and alveolar crest are intact. There is no evidence of a persistent extraction socket or intraosseous pathology.

6. Mild mucositis in the right maxillary sinus

Mild mucositis is present in the right maxillary sinus. This is a non-significant incidental finding.

5. Phleboliths in right infratemporal fossa

Multiple ring-shaped radiopacities with a radiolucent central nidus are present within the right infratemporal fossa adjacent to the posterolateral wall of the right maxillary sinus. The sinus wall is intact and unaffected. This appearance suggests the possibility of a vascular lesion such as a hemangioma or an arteriovenous malformation.

Axial views of maxilla

These axial cross-sectional images demonstrate the normal appearance of the alveolar process in the edentulous 18 and 28 regions. Persistent periapical pathology is noted on tooth 27. Mild mucositis is present in the right maxillary sinus. The sinus walls are intact and demonstrate a normal contour. The focal calcifications within the right infratemporal fossa adjacent to the posterolateral wall of the right maxillary sinus suggest the possibility of a vascular lesion in this region.