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Case 21319

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Referral category

Troublesome / painful / cracked tooth (Endodontic)

Region of interest

46

Referral reason

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Canaray 21319

1. Rarefying osteitis on tooth 46M

The mesial root apex of tooth 46 exhibits periapical rarefying osteitis.

2. Bone loss on tooth 46M suggestive of a root fracture

A long narrow pocket of periodontal bone loss on the lingual surface of the mesial root of tooth 46 that is distinct from the periapical rarefying osteitis is suggestive of a vertical root fracture.

Axial views of tooth 46

These axial cross sectional images demonstrate the periapical rarefying osteitis and the narrow periodontal pocket that is secondary to a vertical root fracture on the lingual surface of the mesial root of tooth 46

3. Periodontal bone loss on tooth 47

Tooth 47 exhibits moderate periodontal bone loss that extends into the lingual furcation.