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Referral details

Case 116191

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Referral category

Dental implants

Region of interest

upper arch

Referral reason

[Only visible to logged-in users]

1 Files Info

Canaray 116191

2. Thin buccal bone overlying implant 11

The implant 11 is buccally positioned relative to the long-axis of the alveolar process. The buccal cortical bone overlying this implant is thin and may be partially dehiscent.

1. Peri-implant bone loss on implant 11M

Peri-implant bone loss is evident along the mesial aspect of the implant 11, which extends from the alveolar crest to the apical third of the implant. The coronal two-thirds of the threads of this implant appear exposed in this region.

3. Healing extraction socket at site 21

Granular bone is present within the extraction socket at site 21, which indicates healing. The density of this granular bone is presently lower than that of the surrounding trabecular bone.

Sagittal views of the left maxillary sinus

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

4. Transverse ridges apical to sites 25, 27

Transverse ridges are evident along the floor of the maxillary sinus apical to sites 25 and 27, which may slightly impede a sinus lift procedure in these regions.

5. Chronic sinusitis in right maxillary sinus

The walls of the right maxillary sinus appear thickened and sclerotic. Moderate mucosal thickening is evident in this sinus, with the concurrent presence of air bubble formation. These findings suggest chronic sinusitis involving the right maxillary sinus, which is a relative contraindication to a sinus lift procedure.

Sagittal views of the right maxillary sinus

These sagittal cross-sectional images demonstrate that the walls of the right maxillary sinus appear thickened and sclerotic. Note the presence of moderate mucosal thickening and air bubble formation in the right maxillary sinus. These findings suggest the presence of chronic sinusitis, and a sinus lift procedure is contraindicated.

6. Enlargement of the right infraorbital canal: medical referral recommended

The right infraorbital canal appears enlarged as compared to the contralateral side. The cortices of the right orbital floor appear focally dehiscent adjacent to this canal. These findings suggest the possibility of a neoplastic entity involving the right infraorbital canal. Referral to a physician is recommended for further investigation.

Coronal views of the orbits

These coronal cross-sectional images demonstrate that the right infraorbital canal appears enlarged as compared to the contralateral side. The right orbital floor appears thinned and partially dehiscent adjacent to this region. These findings suggest the presence of a space occupying mass.

7. Physiologic intracranial calcification

A midline physiologic calcification is present intracranially. This is an incidental finding with no significance.

8. Mild cervical degenerative joint disease

Small osteophytes and mild subchondral sclerosis are present in the articular regions of the atlas and dens of the cervical vertebrae. This is a common incidental finding with no clinical significance that is suggestive of mild cervical degenerative joint disease.

9. Calcified stylohyoid ligaments

The stylohyoid ligaments are partially calcified bilaterally. This is an incidental finding with no clinical significance.