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Referral details

Case 115013

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Referral category

Dental implants

Region of interest

35, 46 and 16

Referral reason

[Only visible to logged-in users]

1 Files Info

Canaray 115013

1. Enamel pearl in tooth 18

An enamel pearl is evident adjacent to the furcal floor of tooth 18. There is no radiographic evidence of bone loss adjacent to this enamel pearl, and tooth 18 appears otherwise normal. This is a non-significant incidental finding.

2. Enamel pearl on tooth 16P

An enamel pearl is evident along the furcal surface of the apical third of the palatal root of tooth 16. There is no evidence of bone loss adjacent to this enamel pearl, which suggests that this is a non-significant finding.

3. Periodontal-endodontic lesion on tooth 37

There is extensive circumferential bone loss around the root of tooth 37, which extends from the alveolar crest to involve its periapical region. These findings suggest inflammatory disease arising from a combined endodontic and periodontal origin. Extraction of this tooth is indicated.

4. Healing extraction socket at site 35

Granular bone is present within the extraction socket at site 35, which indicates healing. The density of this granular bone is slightly lower than that of the surrounding trabecular bone.

Generalized periodontal bone loss

There is generalized moderate horizontal bone loss involving the imaged dentition. Vertical bone loss is evident along the distal aspect of tooth 12, the distal aspect of tooth 24, the mesial and distal aspects of tooth 34, and the mesial aspect of tooth 46. Furcal bone loss is also evident in tooth 46. A combined periodontal-endodontic lesion is observed in tooth 37.

5. Mild mucositis of right maxillary sinus

The right maxillary sinus exhibits mild mucositis, which represents an incidental finding with no clinical significance.

Sagittal views of the right maxillary sinus

These sagittal cross-sectional images demonstrate the presence of mild mucositis in the right maxillary sinus, which should not impede a sinus lift procedure.

6. Possible osteochondroma in right mandibular notch

A pedunculated bony outgrowth is observed emanating from the right mandibular notch. The superior-most aspect of this entity and its relationship with the articular eminence and the zygomatic arch is not captured in this imaging volume. This growth is comprised of trabecular bone that is surrounded by a smooth cortical lining, and appears continuous with the trabecular and cortical bone of the underlying mandibular ramus. These findings suggest the possibility of an osteochondroma. Complete CBCT imaging of this region may reveal additional diagnostic information of interest.

Axial views of the right mandibular ramus

These axial cross-sectional images demonstrate the presence of a bony outgrowth emanating from the right mandibular notch. This growth exhibits a normal internal trabecular architecture, and is lined by normally appearing cortical bone.

Buccolingual views of the right mandibular ramus

These buccolingual cross-sectional images demonstrate that the outgrowth emanating from the right mandibular notch appears pedunculated, with the outer aspect of this entity exhibiting a wider buccolingual dimension than its attachment to the mandibular ramus.

Mesiodistal views of the right mandibular ramus

These mesiodistal cross-sectional images demonstrate that the trabecular bone in this outgrowth appears fully continuous with trabecular bone of the right mandibular ramus. Note the normal appearance of the adjacent coronoid process.

7. Palatine tonsilloliths

Tonsilloliths are present in the palatine tonsils. This is an incidental finding with no clinical significance due to the spontaneous exfoliation of tonsilloliths.