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Case 151684

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Dental implants

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Canaray 151684

Healing extraction sockets in anterior maxillae

Granular bone is present within the extraction sockets at sites 15, 14, 13, 23, 24, and 25, which indicates healing. The density of this granular bone is slightly lower than that of the surrounding trabecular bone. The alveolar crest has not yet been fully re-established.

1. Prominent vascular channel at site 13

A prominent accessory neurovascular canal is evident along the palatal aspect of the alveolar process of site 13. The average diameter of this canal measures approximately 1 mm. Although this represents a variant of normal anatomy, direct implant placement through this neurovascular canal may increase the risk of intraoperative bleeding.

2. Palatal torus

A palatal torus is present in the midline of the hard palate. This is an incidental finding with no clinical significance.

Clear left maxillary sinus

These sagittal cross-sectional images demonstrate that the left maxillary sinus is clear and free of pathology.

3. Transverse ridge apical to site 16

A transverse ridge is present along the medial aspect of the floor of the maxillary sinus apical to site 16, which may slightly impede a sinus lift procedure in this region.

Clear right maxillary sinus

These sagittal cross-sectional images demonstrate that the right maxillary sinus is clear and free of pathology.

4. Radiolucency in right greater wing of the sphenoid bone: medical referral recommended

There is a well-defined, corticated radiolucency located within the right greater wing of the sphenoid bone, which appears continuous with the right foramen Vesalius. The contiguous cortical lining of the middle cranial fossa appears thinned and is not fully visualized radiographically. While these findings could represent a vascular malformation, further imaging through a physician is recommended to rule out the possibility of skull base pathology.