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Case 144870

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Referral category

Dental implants

Region of interest

Mx and Md

Referral reason

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1 Files Info

Canaray 144870

Multiple foci of gross caries

Gross caries are evident in teeth 14, 12, 25, and the mesial aspect of tooth 47. There is rarefying osteitis located periapical to tooth 25 and the mesial root of tooth 47, which indicates the presence of inflammatory disease. No signs of periapical pathology are noted in teeth 14 and 12.

1. Retained root fragment at site 46

There is an irregularly shaped radiopacity located within the crestal soft tissues overlying site 46, which exhibits a density comparable to dentin. These findings suggest the presence of a retained root fragment. There is no radiographic evidence of inflammatory disease in the adjacent alveolar bone.

2. Buccal bone depression at site 37

There is a well-defined, smoothly-contoured, corticated concavity located along the buccal aspect of the posterior left mandible, adjacent to tooth 37, which extends from a region just inferior to the buccal alveolar crest to just superior to the superior cortex of the left inferior alveolar nerve canal. The buccal cortical plate in this area appears slightly thinned, but remains intact. The posterior extension of this entity is not fully captured in this imaging volume. Based on what can be visualized, these findings suggest the presence of an idiopathic bone concavity, and could represent an extremely rare variant of the Stafne defect. However, clinical correlation is recommended to rule out the possibility of soft tissue pathology overlying this region. A follow-up CBCT examination in 6-12 is recommended to substantiate this interpretation.

3. Mild mucositis of both maxillary sinuses

Mild mucositis is present in both maxillary sinuses. This represents an incidental finding with no clinical significance.

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 ridge apical to site 17

A transverse ridge is present along the medial aspect of the floor of the maxillary sinus apical to site 17, which may slightly impede a sinus lift procedure in this region.

Sagittal views of the right maxillary sinus

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