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Troublesome / painful / cracked tooth (Endodontic)
Region of interest
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No change in size of maxillary incisive canal since prior scan
The prior scan (Canaray Case 180386, dated 4 December 2017, shown in greyscale) was overlaid on the current scan (shown in redscale). The localized enlargement of the maxillary incisive canal in the region palatal to tooth 21 has not changed in size in the time interval between scans. This suggests that the enlargement most likely represents a variant of normal anatomy rather than a pathologic finding. Continued follow-up on a less frequent basis is recommended to confirm the diagnosis.
Orthogonal measurements of localized enlargement of incisive canal
These orthogonal cross-sectional images demonstrate the dimensions of the locally enlarged maxillary incisive canal from various perspectives.
Normal tooth 21
The periapical region of tooth 21 appears normal radiographically, which suggests that this tooth is not endodontically compromised. The localized enlargement of the maxillary incisive canal extends onto the palatal surface of the apical third of the root of the tooth and has effaced the lamina dura in this region, but has not had any significant effects upon tooth 21.