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Case 34794

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Referral category

Disease / syndrome / tumor / condition

Region of interest

33, 34

Referral reason

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Canaray 34794

1. Gingival hyperplasia around tooth 33

Hyperplastic gingiva is present around tooth 33. This hyperplastic gingiva has splayed teeth 32, 33, and 34. The underlying bone does not exhibit any signs of pathology, and the periodontal ligament spaces remain uniform around teeth 32, 33 and 34, which suggests that this hyperplastic soft tissue overgrowth is benign. The bone surrounding tooth 34 appears relatively normal and is not the source of the hyperplastic gingiva.

Axial views of tooth 33

These axial cross-sectional images demonstrate the normal appearance of the alveolar bone surrounding tooth 33. No changes have occurred to the periodontal ligament space or lamina dura surrounding the tooth.

Buccolingual views of tooth 33

The hyperplastic gingiva on the mesial and distal surfaces of tooth 33 has caused mild pressure resorption of the alveolar crest, but has not had any other effects on the underlying bone.

Mesiodistal views of mid-third quadrant

The roots of teeth 33 and 34 have not been affected by the overlying gingival hyperplasia.

2. Mild pressure resorption of crest between teeth 32 and 23

The gingival hyperplasia between teeth 32 and 33 has caused mild pressure resorption of the alveolar crest. No infiltration has occurred.

Normal root of tooth 32

The root of tooth 32 appears normal radiographically. The periodontal ligament space surrounding the root of the tooth appears normal and the lamina dura is intact.

3. Calculus on tooth 36

Calculus is present on the mesial and distal surfaces of tooth 36. Mild periodontal bone loss is present.

4. Dense bone island apical to tooth 36

A small dense bone island is present in the periapical region of tooth 36. This is an incidental finding with no clinical significance.

5. Left mental foramen is a morphologic variant

The left mental foraminal region is a morphologic variant with two foramina. This is an incidental finding with no clinical significance.