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Troublesome / painful / cracked tooth (Endodontic)
Region of interest
Wire at 26
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1. Normally embedded wire extending from tooth 26 to orbital floor
The fixation wire that extends from the orbital floor to tooth 26 appears to be normally embedded within the zygomatic bone. There are no significant radiographic findings pertaining to this wire.
Normal tooth 26
Tooth 26 exhibits a normal overall radiographic appearance. The periodontal ligament space is of uniform width around the roots of the tooth and the lamina dura is intact. No signs of endodontic pathology or root resorption are present.
2. History of a LeFort Type 1 osteotomy
The maxillary alveolar bone exhibits a history of a LeFort Type 1 osteotomy. All of the fixation plates and wires appear to be fully seated. Overall, a normal post-treatment appearance is present.
3. Mild left maxillary sinus mucositis
Mild mucositis is present in the left maxillary sinus. The lateral wall of the nasal cavity is malformed, likely secondary to the presence of a palatal cleft.
4. Persistent palatal cleft in anterior left maxilla
A persistent cleft is present in the palatal aspect of the left maxilla. Soft tissues occupies the cleft.
Impacted tooth 28 causing resorption of tooth 27DB
Tooth 28 is slightly distoangularly impacted. The crown of tooth 28 is located distal to the coronal halves of the distobuccal and palatal roots of tooth 27. Resorption is present in the distobuccal root of tooth 27. The roots of tooth 28 are partially developed. The residual follicle surrounding the crown of tooth 28 appears normal. The periodontal ligament space is visible around the root circumference, which suggests that ankylosis is not present.
5. Palatine tonsilloliths
Tonsilloliths are present in the palatine tonsils. This is an incidental finding with no clinical significance due to the spontaneous exfoliation of tonsilloliths.
6. Mild cervical degenerative joint disease
Small osteophytes and mild subchondral sclerosis are present on the articulating surfaces of the cervical vertebrae. This is suggestive of the presence of mild cervical degenerative joint disease, which is an incidental finding with no clinical significance.