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Referral details

Case 198209

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Referral category

Troublesome / painful / cracked tooth (Endodontic)

Region of interest

11, 21, 22, 12

Referral reason

[Only visible to logged-in users]

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Canaray 198209

1. Very slight increase in size of cemental dysplasia since prior scan

The prior scan (Canaray case 135434,dated 10 March 2017, shown in redscale) was overlaid on the current scan (shown in greyscale). The cemental dysplasia that is present in the anterior right maxillary and the periapical region of tooth 11 is very slightly increased in size (as shown by the thin red halo at its periphery in the adjacent images), but appears unchanged otherwise. The adjacent teeth remain unaffected.

2. Secondarily affected tooth 12

The periapical cemental dysplasia at the anterior maxilla involves the apical third of the root of tooth 12. There is no evidence of apical pathology or root fracture at tooth 12. This tooth has been secondarily affected by the cemental dysplasia.

3. Secondarily affected tooth 11

The periapical cemental dysplasia at the anterior maxilla involves the apical third of the root of the endodontically treated tooth 11. The large amorphous globule of the cemental dysplasia is directly fused to the apex of tooth 11. Considering the hints of granular pattern surrounding the root, the appearance is most suggestive of healing post treatment appearance rather than a persistent endodontic lesion.

4. Secondarily affected tooth 21

The periapical cemental dysplasia at the anterior maxilla involves the palatal aspect of the apical third of the root of tooth 21. There is no evidence of apical pathology or root fracture at tooth 21.

Normal tooth 22

Tooth 22 appears normal radiographically. The periodontal ligament space is of uniform width surrounding the root of the tooth and the lamina dura is intact. There are no signs of periapical osseous dysplasia associated with this tooth. There are no signs of periapical or periradicular pathology on the tooth. There are no signs of a root fracture.

5. Immature osseous dysplasia associated with tooth 16

Tooth 16 is partially captured in this imaging volume. A region of low density granular bone is present in the visible portion of the furcation of the tooth. This likely represents an immature focus of osseous dysplasia, which is a non-significant incidental finding that does not require treatment.

6. Periapical osseous dysplasia associated with tooth 25

Low density granular bone is present in the periapical region of tooth 25. The overlying sinus floor has been thinned, elevated and may be partially dehiscent. A mucous retention cyst is present in the left maxillary sinus, apical to teeth 25 and 26. This likely represents a focus of periapical osseous dysplasia, which has slightly increased in size since the previous scan performed on March 7, 2017 (Canaray ID 135434).

Generalized periodontal bone loss

Mild horizontal bone loss is present on the imaged dentition.

8. Mucous retention cyst in left maxillary sinus

A mucous retention cyst is present on the floor of the left maxillary sinus. The mucous retention cyst has slightly increased in size since the previous scan performed on March 7, 2017 (Canaray ID 135434). This represents a non-significant incidental finding.

7. Opacified right maxillary sinus

The portion of the right maxillary sinus captured in this imaging volume is opacified. This may represent a large mucous retention cyst, which appears to have slightly increased in size since the previous scan performed on March 7, 2017 (Canaray ID 135434).