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Case 33697

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Dental implants

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Pathology report

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Canaray 33697

Site 14: Adequate bone

A 4x9mm cylinder was overlaid on the adjacent images at site 14. Adequate bone exists for implant placement at this site.

Site 25: Adequate bone

A 4x8mm cylinder was overlaid on the adjacent images at site 25. Adequate bone exists for implant placement at this site.

1. Midline unilocular cyst in anterior maxilla

A unilocular cyst is present at the maxillary midline. This cyst has slightly splayed the roots of teeth 11 and 21. This cyst is not continuous with the nasopalatine duct and is therefore not a nasopalatine duct cyst. The root apices of teeth 11 and 21 appear normal, which suggests that this cyst does not originate from teeth 11 or 21. This entity likely represents a unilocular odontogenic cyst or cystic tumor such as an odontogenic keratocyst or a midline developmental cyst.

Axial views of anterior maxilla

These axial cross sectional images demonstrate the buccal position of the midline cyst in the maxillary alveolar process. Note the separation of this cyst from the nasopalatine duct, as well as the absence of any damage to teeth 11 and 21.

2. Maxillary sinus mucositis

Moderate mucositis is present in both maxillary sinuses. This is an incidental finding with no clinical significance.