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Referral details

Case 115490

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Referral category

Troublesome / painful / cracked tooth (Endodontic)

Region of interest

36, 37

Referral reason

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2 Files Info

Canaray 115490

Normal tooth 36

Tooth 36 appears normal radiographically. There are no signs of root fracture. The periodontal ligament space appears thin and uniform, and the lamina dura is intact. The periapical and periradicular bone appears normal. There is no evidence of pathology involving this tooth.

Axial views of tooth 36

These axial cross-sectional images demonstrate the normal appearance of the periodontal ligament space and lamina dura surrounding the root circumference of tooth 36. No signs of root fracture are present.

Buccolingual views of tooth 36

These buccolingual cross-sectional images demonstrate the intact periradicular bone on the buccal and lingual surfaces of the roots of tooth 36. The mesial and distal root apices are separated from the inferior alveolar nerve canal by 7.2 mm and 6.2 mm, respectively.

Normal tooth 37

Tooth 37 appears normal radiographically. The periodontal ligament space is of uniform width around the roots of the tooth and the lamina dura is intact. No signs of endodontic or periradicular pathology are present. No signs of root fracture are visible.

Axial views of tooth 37

These axial cross-sectional images demonstrate the normal appearance of the periodontal ligament space and lamina dura surrounding the root circumference of tooth 37. No signs of root fracture are present.

Buccolingual views of tooth 37

These buccolingual cross-sectional images demonstrate the intact periradicular bone on the buccal and lingual surfaces of the roots of tooth 37. The mesial and distal root apices of tooth 37 are separated from the mandibular nerve canal by 5.2 mm and 4.3 mm, respectively.

Mesiodistal views of teeth 36 and 37

These mesiodistal cross-sectional images demonstrate the normal appearance of the periradicular and periapical bone associated with teeth 36 and 37. The patient's symptoms do not appear to be endodontic in origin.

2. Buccal exostoses in mandible

Small buccal exostoses are present within the mandible. This is a non-significant incidental finding.

1. Prominent bony crypts within mandibular tori

Large mandibular tori are present bilaterally adjacent to the canine-premolar-molar regions. These tori extend to the midsagittal plane. Prominent bony crypts are noted within these tori. Irregularities in the lingual gingiva overlying these crypts are a probable site of collection for food debris and bacteria, and are the likely source of the patient's purported symptoms. No evidence of sequestration of these tori is noted. Osteoplasty of these lingual tori may be considered.

Axial views of mandible

These axial cross-sectional images demonstrate extension of the mandibular tori to the midsagittal plane as well as the irregular surface contour. The underlying bone of the alveolar process appears normal. No signs of odontogenic pathology are present.

Coronal views of mandible

These coronal cross-sectional images demonstrate a normal trabecular bone pattern around the teeth within the right and left posterior mandible. The mandibular tori do not exhibit any evidence of sequestration.

3. Multiple subcutaneous calcifications

Subcutaneous calcifications are dispersed throughout the chin. This is an incidental finding with no clinical significance.