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Referral details

Case 127595

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Referral category

Troublesome / painful / cracked tooth (Endodontic)

Region of interest

VOL1-#14 VOL2-#LR

Referral reason

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2 Files Info

Canaray 127595

2. Widened PDL space at tooth 14

The periapical periodontal ligament space of the palatal root of tooth 14 is slightly widened. This most likely represents a low grade endodontic pathology.

1. Possible calcified canals in tooth 14P

The motion and metal artifacts are present in this image. The palatal root of tooth 14 appears to be completely calcified. A thin root canal can be visualized at the apical half of the buccal root canal.

Axial views of tooth 14

These axial cross-sectional images demonstrate the normal appearance of the alveolar bone surrounding the roots of tooth 14. No signs of a root fracture are present. The palatal root of the tooth appears completely calcified. The buccal root canal exhibits a thin canal at the apical half the root.

Mesiodistal views of tooth 14

These mesiodistal cross-sectional images demonstrate the presence of periapical periodontal widening associated with palatal root of tooth 14. The mesial and distal periradicular bone is intact.

Buccolingual views of tooth 14

These buccolingual cross-sectional images demonstrate the intact buccal and palatal cortical plates overlying the roots of tooth 14. Slight widening of the periodontal ligament space is evident at the apex of the palatal root of the tooth.

Normal tooth 45

Tooth 45 appears normal radiographically. There are no signs of endodontic pathology or root fracture. The periodontal ligament space appears thin and uniform, and the lamina dura is intact. The periapical and periradicular bone appears normal.

Axial views of tooth 45

These axial cross-sectional images demonstrate the normal appearance of the alveolar bone surrounding tooth 45. No signs of fracture are radiographically evident. A single, centrally positioned root canal system is evident.

Mesiodistal views of tooth 45

These mesiodistal cross-sectional images demonstrate the normal appearance of the periapical and periradicular bone located mesial and distal to tooth 45. There are no radiographic signs of endodontic pathology.

Buccolingual views of tooth 45

These buccolingual cross-sectional images demonstrate the intact buccal and lingual cortical plates overlying the root of tooth 45. The root apex is positioned 2.0mm from the right mental foramen.

Normal post-treatment appearance of tooth 46

The endodontically treated tooth 46 appears normal radiographically. No signs of endodontic or periradicular pathology are present despite the slightly short filling of the root canals. The periodontal ligament space is of uniform width around the tooth and the lamina dura is intact. No signs of root fracture or unfilled canals are present.

Axial views of tooth 46

These axial cross-sectional images demonstrate the normal appearance of the alveolar bone surrounding the roots of tooth 46. No signs of fracture are present.

Mesiodistal views of tooth 46

These mesiodistal cross-sectional images demonstrate the normal appearance of the periradicular bone on the mesial and distal surfaces of the roots of tooth 46. No signs of periapical pathology are present.

Buccolingual views of tooth 46

These buccolingual cross-sectional images demonstrate approximately 2.4mm and 1.8mm between the mesial and distal root apices of tooth 46 and the mandibular nerve canal, respectively. The buccal and lingual cortical plates remain intact.

3. Widened PDL space at tooth 47DL: unfilled lingual canal

The periapical periodontal ligament space of the lingual aspect of the distal root of tooth 47 is slightly widened. The existing obturation is buccally positioned in the distal root, which suggests that an unfilled lingual canal is present. This most likely represents a persistent periapical pathology associated with unfilled lingual canal at the distal root. No signs of root fracture are present.

Axial views of tooth 47

These axial cross-sectional images demonstrate that the existing obturation in the distal root of tooth 47 appears buccally positioned, which could infer the possibility of an unfilled lingual canal in this root. No signs of root perforation or fracture are evident.

Mesiodistal views of tooth 47

These mesiodistal cross-sectional images demonstrate the intact mesial and distal periradicular bone associated with tooth 47. Periodontal ligament space widening involves the lingual aspect of the distal root apex.

Buccolingual views of tooth 47

These buccolingual cross-sectional images demonstrate the intact buccal and lingual cortical plates overlying the roots of tooth 47. The mesial and distal root apices are positioned approximately 4.3mm and 4.9mm from the right mandibular nerve canal, respectively. Note the presence of an unfilled distolingual canal and slight widening of the periapical ligament space at this root.

Periodontal bone loss in maxilla

There is generalized mild horizontal bone loss involving the imaged maxillary dentition.

Periodontal bone loss in mandible

There is generalized mild horizontal bone loss involving the imaged mandibular dentition.

4. Mild mucositis of right maxillary sinus

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

5. Monckeberg arteriosclerosis of the right facial artey

Tubular calcifications are visible within the tunica media of the right facial artery passing along the right mandibular posterior body. This is an incidental finding with no proven clinical significance and is suggestive of the presence of Monckeberg's arteriosclerosis. This most likely occurs in the diabetic patient and renal disease.