Files (0)

Only logged-in users can see the full file list

Do you have an access code? Enter it below:

Referral details

Case 225149

Do you have an access code? Enter it below

Referral category

Dental implants

Region of interest

35,45, 41-42 - 15+25

Referral reason

[Only visible to logged-in users]

0 Files Info

Canaray 225149

Normal edentulous sites in mandible

The edentulous sites in the mandible appear normal radiographically. No intraosseous pathology is present. Note that crestal atrophy at sites 35 and 45 limits the bone volume available for implant placement.

1. Rarefying osteitis on tooth 55

The permanent tooth 15 appears to be developmentally absent. The deciduous tooth 55 is retained within the alveolar process. Rarefying osteitis surrounds the mesiobuccal root of tooth 55, which extends to secondarily involve the distobuccal root. The overlying buccal cortical plate is dehiscent. The remaining periradicular bone appears normal.

Retained tooth 65 + absent tooth 25

The deciduous tooth 65 is retained within the alveolar process, and exhibits normal physiologic root resorption. Crestal bone loss is present in the buccal furcal region of the roots. The permanent tooth 25 appears to be developmentally absent.

Impacted tooth 28

Tooth 28 is vertically impacted. The follicle surrounding the crown of the tooth is hypoplastic. The roots of the tooth are fully formed. No damage has occurred to the distal surface of tooth 27.

2. Widened PDL space on tooth 23

The periapical periodontal ligament space on tooth 23 is widened. This may represent a normal anatomic variant or an early sign of endodontic pathology. The remaining periradicular bone appears normal. There are no signs of a root fracture.

3. Severe periodontal bone loss + widened PDL space on tooth 41

Severe vertical bone loss is present on the buccal surface of tooth 41, which extends to the apical third of the root. Moderate horizontal bone loss is present on the the remaining root surfaces.

The periapical periodontal ligament space on tooth 41 is widened. This is likely secondary to mobility associated with the severe bone loss on this tooth.

4. Widened PDL space + periodontal bone loss on tooth 31

The periapical periodontal ligament space of tooth 31 is widened. This may represent a normal anatomic variant or an early sign of endodontic pathology. Moderate horizontal bone loss is present on the buccal and mesial surfaces of tooth 31. The remaining periradicular bone appears normal. There are no signs of a root fracture.

Periodontal bone loss

Severe vertical bone loss is present on tooth 41Bu. Moderate horizontal bone loss is present on teeth 31Bu+ M, 41, and 43Bu+ M. Mild horizontal bone loss is present on the remaining imaged anterior mandibular dentition.

5. Mild mucositis in both maxillary sinuses

Localized mild mucositis is present on the medial wall of the right maxillary sinus. Mild mucositis is present on the floor of the left maxillary sinus. This represents an incidental finding with no clinical significance.

Sagittal views of the right maxillary sinus: No impediment for sinus lift surgery

These sagittal cross-sectional images demonstrate the presence of localized mild mucositis on the floor of the right maxillary sinus. There are no significant impediments to a potential sinus lift procedure.

Sagittal views of the left maxillary sinus: No impediment for sinus lift surgery

These sagittal cross-sectional images demonstrate the presence of mild mucositis on the floor of the left maxillary sinus. There are no significant impediments to a potential sinus lift procedure.

6. Chewing gum present

An amorphously shaped region of radiopaque material is present at the surface of the attached gingigiva of the left hard palate, and extends from teeth 22 to 26. This most likely represents chewing gum.

7. Calcified cornu of thyroid cartilage

The right horn of the thyroid cartilage is partially calcified. This is an incidental finding with no clinical significance.