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Referral details

Case 22625

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Referral category

Dental implants

Region of interest

3rd quadrant

Referral reason

[Only visible to logged-in users]

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Canaray 22625

Impacted tooth 18

Tooth 18 is vertically impacted in the posterior right maxilla. The crown of tooth 18 is located distal to the roots of tooth 17. The roots of tooth 18 are located inferior to the floor of the maxillary sinus, and appear curved in a distal direction. The periodontal ligament space is not completely visualized around the root circumference of this impacted tooth, which suggests the possibility of ankylosis. This tooth has not caused any damage to the adjacent tooth 17. There is no evidence of pathology surrounding this impacted tooth.

Extraction socket at site 15

An extraction socket is observed at site 15. There is no evidence of granular bone formation within this socket, which suggests that tooth 15 was recently extracted.

Impacted tooth 28

Tooth 28 is vertically impacted in the posterior left maxilla. The crown of tooth 28 is located distal to the roots of tooth 27. The roots of tooth 28 are located inferior to the floor of the maxillary sinus, and appear curved in a distal direction. The periodontal ligament space is not completely visualized around the root circumference of this impacted tooth, which suggests the possibility of ankylosis. There is no evidence of pathology surrounding this impacted tooth.

1. External resorption on tooth 27D

Mild external resorption is present along the distal surfaces of the distobuccal and palatal roots of tooth 27 due to its close proximity to the impacted tooth 28. This resorptive defect is not within close proximity to the root canal system, and there is no evidence of periapical or periradicular pathology in tooth 27.

Slightly enlarged nasopalatine duct: variant of normal anatomy

There is mild enlargement of the apical portion of the nasopalatine duct. At its greatest mesiodistal and buccolingual dimensions, the nasopalatine duct measures 5.8 mm and 5.5 mm, respectively, which is considered to be within the range of normal.

2. Air-filled crypt in adenoids

An air-filled crypt is observed within the adenoids. This a variant of normal anatomy, and a non-significant incidental finding.

3. Miliary osteoma cutis

Multiple punctate radiopacities are observed within the bilateral facial skin. These findings are consistent with miliary osteoma cutis. This is a non-significant incidental finding.

4. Moderate cervical degenerative joint disease

Osteophytes and subchondral sclerosis are present in the articulating regions of the Atlas and dens of the cervical vertebrae. This is an incidental finding that is suggestive of moderate cervical degenerative joint disease.

5. Calcified stylohyoid ligaments

The stylohyoid ligaments are partially calcified bilaterally. This is an incidental finding with no clinical significance.