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Referral details

Case 147709

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Referral category

Troublesome / painful / cracked tooth (Endodontic)

Region of interest

Tooth #11 to 22 area

Referral reason

[Only visible to logged-in users]

1 Files Info

Canaray 147709

Overlaid images demonstrating current appearance (green) in comparison to prior scan (red)

This overlay demonstrates the current appearance of the radiolucent defect (shown in a green outline) in comparison to the normal bone appearance in the prior scan (red outline- Canaray Case 128275 acquired on 2016-09-13). The defect exhibits a decrease in size, with the formation of granular bone at its periphery.

Orthogonal measurements of cystic lesion in anterior maxilla

These orthogonal cross sectional images demonstrate the formation of granular bone at the periphery of the lesion in the anterior maxilla. The size of the residual lesion has been measured. The entity has displaced the maxillary incisive canal posteriorly, which suggests that it represents a dentigerous cyst or residual cyst rather than a nasopalatine duct cyst.

Normal tooth 12

Tooth 12 appears normal radiographically, and has not been affected by the cystic lesion that is present in the anterior maxilla.

1. Persistent radiolucent lesion apical to tooth 11

The unilocular cystic lesion in the anterior maxilla extends around the periapical region of tooth 11. The endodontic obturation of the tooth appears to be successful. Based on the decrease in size of the cystic lesion since the endodontic obturation, it is reasonable to assume that tooth 11 was a contributory source to the formation of the cystic lesion, and that the lesion is a radicular cyst.

Normal tooth 22

Tooth 22 appears normal radiographically. The periodontal ligament space is of uniform width around the root of the tooth and the lamina dura is intact. Tooth 22 has not been affected by the lesion at the maxillary midline.