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Case 16309

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Referral category

Disease / syndrome / tumor / condition

Region of interest

37, 24, 25

Referral reason

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Canaray 16309

1. Rarefying osteitis on tooth 25

Tooth 25 exhibits rarefying osteitis with an epicenter in its periapical regions. This suggests that no fractures are present in the root of tooth 25.

2. Rarefying osteitis on tooth 24P suggestive of root fracture

Rarefying osteitis is present on the distal surface of the root of tooth 24. The epicenter of this rarefying osteitis appears to be at the level of the apex of the post in the lingual root of the tooth, which suggests that a fracture may be present on the distal surface of the palatal root of tooth 24. The periapical region of tooth 24 appears normal.

Axial views of teeth 24 and 25

These axial cross sectional images demonstrate the periapical epicenter of the rarefying osteitis associated with tooth 25 and the midroot epicenter of the rarefying osteitis associated with the distal surface of tooth 24.

3. Rarefying osteitis on tooth 37. Possible fracture on tooth 37M

Tooth 37 exhibits periapical rarefying osteitis at both of its root apices and periradicular bone loss along the entire length of the mesiolingual and buccal surfaces of the mesial root. This pattern of rarefying osteitis is suggestive of a possible loss of the endodontic seal and of a possible fracture in the mesial root of the tooth. However, no fractures are directly visible in the root of the tooth in this scan.

Axial views of tooth 37

These axial cross sectional images demonstrate the distinct regions of rarefying osteitis associated with the periapical regions of tooth 37 and with the lingual and buccal surfaces of the mesial root of the tooth.