Files (0)

Only logged-in users can see the full file list

Do you have an access code? Enter it below:

Referral details

Case 13110

Do you have an access code? Enter it below

Referral category

Disease / syndrome / tumor / condition

Region of interest

max ant, quad 4

Referral reason

[Only visible to logged-in users]

0 Files Info

Canaray 13110

1. Rarefying osteitis on tooth 34

Tooth 34 exhibits periapical rarefying osteitis.

2. Radicular cyst with embedded root canal sealer

The appearance of the radiolucent entity apical to tooth 46 is very unusual because the periphery exhibits a thick radiopaque border inferiorly and buccally. Cortication is visible around this 1.5 mm thick radiopaque region, which suggests that the thickened region does not represent a true periphery, but the remnants of material that has been introduced into the cyst, such as root canal sealer. With the exception of this one radiographic finding, and the remainder of the entity has features that are representative of a radicular cyst, such as unilocular round shape, and the periapical location of an endodontically involved tooth.

3. Axial slices of radicular cyst

These axial cross sectional images demonstrate the round cyst at the apex of tooth 46, as well as the radiopaque filling material that has settled on the buccal and inferior services of the cyst.

4. Bone defect suggestive of prior surgery in left palate

An irregularly shaped bone defect is present at the palatal aspect of the alveolar process at sites 22 and 23. This defect is continuous with the palatal soft tissue. Overall the appearance is consistent with a history of surgical cyst removal and a healed pattern that will never fully ossify.

Axial slices of anterior second quadrant

These axial cross sectional images demonstrate the granular sclerotic bone that is suggestive of a healed postsurgical bone pattern. Note the continuity of the palatal attached gingiva with the defect in the left maxillary alveolar process .

5. Mild maxillary sinus mucositis

Mild mucositis is present on the floor of the left maxillary sinus. This is an incidental finding.

6. Lingual tori

Multiple lingual tori are present in the mandibular alveolar process. These tori are composed exclusively of cortical bone.

7. Root fracture on tooth 32

Tooth 32 exhibits a vertical root fracture, and rarefying osteitis present adjacent to the fracture plane.

8. Enlarged follicle on tooth 48

The follicle on the horizontally impacted tooth 48 is slightly enlarged, and is continuous with the crest of the alveolar process. The root of tooth 48 extends into the submandibular space.