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Referral details

Case 128512

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Referral category

Troublesome / painful / cracked tooth (Endodontic)

Region of interest

Maxillary 11 and 12

Referral reason

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1 Files Info

Canaray 128512

1. Extruded gutta percha point in labial soft tissue adjacent to teeth 11 and 12

A gutta percha point has been extruded through the mesiobuccal surface at the midroot level of tooth 12 into the labial soft tissue overlying the tooth. Another gutta percha point has extruded from the buccal surface at the coronal third of the root of tooth 11. The root canal systems of these teeth remain unobturated, and periapical rarefying osteitis is present.

2. Perforation of tooth 12MB

Access preparation has perforated the mesiobuccal surface of tooth 12 at the midroot level. The gutta percha point has been extruded into the labial soft tissue through this perforation. The root canal system of the tooth remains unobturated. Periapical rarefying osteitis is present. No signs of fracture are present.

Axial views of tooth 12

These axial cross-sectional images demonstrate the periapical rarefying osteitis at the root of tooth 12. The extruded gutta percha point through the mesiobuccal surface of the midroot level of the tooth is evident in these images. The remaining alveolar bone around tooth 12 appears normal.

Mesiodistal views of tooth 12

These mesiodistal cross-sectional images demonstrate the mesiobuccal orientation of the obturation material within the root canal of tooth 12, as well as the unobturated root canal system of the tooth. The periradicular bone located mesial and distal to this tooth appears normal.

Buccolingual views of tooth 12

These buccolingual cross-sectional images demonstrate the perforation of the mesiobuccal root surface at the midroot level of tooth 12, as well as the extruded gutta percha point in this region. The contiguous palatal cortical plate remains intact.

3. Perforation of tooth 11Bu

The access preparation has perforated through the buccal surface of the coronal third of the root of tooth 11. Gutta percha point has been extruded through this perforation into labial soft tissue. The root canal remains unobturated. Periapical rarefying osteitis is present. No signs of fracture are evident.

Axial views of tooth 11

These axial cross-sectional images demonstrate the perforation of the buccal surface at the coronal third of the root of tooth 11 by the access preparation. The extruded gutta percha into the labial soft tissues is evident in these images. Note the unobturated root canal, as well as the periapical rarefying osteitis at the root of tooth 11.

Mesiodistal views of tooth 11

These mesiodistal cross-sectional images demonstrate the periapical rarefying osteitis at the root of tooth 11. The buccal perforation at the coronal third of the root is evident in these images. The periradicular bone on the mesial and distal root surfaces of the tooth appears normal.

Buccolingual views of tooth 11

These buccolingual cross-sectional images demonstrate the rarefying osteitis at the root apex of tooth 11. The perforation through the buccal surface of the root at the coronal third, as well as the extruded gutta percha in the labial soft tissue in this region is evident in these images. The contiguous palatal cortical plate appears intact.

4. Recurrent caries at tooth 14Bu

A recurrent carious lesion is present at the buccal surface of tooth 14 at the restorative margin. This lesion extends 2mm into dentin, but does not appear to have affected the root canal system of the tooth. No periapical pathology is present at tooth 14.

5. Mild mucositis of right maxillary sinus

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