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Case 211774

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Referral category

Disease / syndrome / tumor / condition

Region of interest

12/13 area

Referral reason

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Canaray 211774

1. Odontome at palatal to tooth 13

A unilocular entity with a well defined corticated periphery is present at the palatal aspect of the alveolar process adjacent to tooth 13. This entity communicates with the alveolar crest with what appears to be a gubernacular canal. Internally, the entity is composed of many small discrete structures with densities that are similar to dentin and enamel. Some of these small structures are organized similarly to miniature teeth. Based on the presence of enamel and small tooth like structures, the most likely diagnosis is a compound odontome. Teeth 12 and 13 have been slightly displaced by the odontome, but appear normal otherwise.

2. Secondarily infected tooth 14

The compound odontome in the anterior right maxilla abuts the mesiopalatal surface of the middle third of the palatal root of tooth 14. Tooth 14 appears normal otherwise. There are no signs of displacement, root resorption, or pathology on tooth 14.

3. Secondarily affected tooth 13

The compound odontome in the anterior right maxilla abuts the palatal surface of the coronal two thirds of the palatal root of tooth 13. The root of tooth 13 has been slightly buccally displaced by the odontome. Tooth 13 appears normal otherwise. There are no signs of root resorption or pathology on tooth 14.

4. Secondarily affected tooth 12

The compound odontome in the anterior right maxilla abuts the mesial surface of the apical third of the palatal root of tooth 12. The root of tooth 12 has been slightly mesially displaced by the odontome. Tooth 12 appears normal otherwise. There are no signs of root resorption or pathology on tooth 12.

5. Dense bone island or resorbing root fragment interproximal to teeth 15 and 16

A dense bone island or resorbing root fragment is retained within the palatal aspect of the alveolar process, interproximal to teeth 15 and 16. In both instances this represents a non-significant incidental finding.