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Referral details

Case 55899

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Referral category

Troublesome / painful / cracked tooth (Endodontic)

Region of interest

38,34,45

Referral reason

[Only visible to logged-in users]

0 Files Info

Canaray 55899

1. Florid osseous dysplasia

Large foci of amorphous granular bone are present in the periapical areas of most of the maxillary and mandibular teeth. A combination of granular and sclerotic bone is present within a soft tissue capsule at site 38. The overlying buccal and lingual cortical plates are thinned and demonstrate undulating expansion. These radiographic findings represent multiple maturing areas of periapical cemental dysplasia, which is consistent with a diagnosis of florid osseous dysplasia. Radiographic follow-up to monitor the dynamic nature of this condition is indicated.

Orthogonal views of posterior 1st quadrant

These orthogonal cross-sectional images demonstrate elevation of the floor of the right maxillary sinus associated with the area of florid osseous dysplasia which extends between the root apices of teeth 15 and 17. Tooth 14 does not appear to be involved.

Orthogonal views of anterior 1st quadrant

These orthogonal cross-sectional areas demonstrate small foci of dysplastic bone at the apices of teeth 12 and 13. Tooth 11 is not involved.

Orthogonal views of anterior 2nd quadrant

These orthogonal cross-sectional images demonstrate a diffuse area of granular dysplastic bone extending from the peripheral areas of teeth 21 and 23. The overlying buccal cortex is mildly thinned and expanded.

Orthogonal views of posterior 2nd quadrant

These orthogonal cross-sectional images demonstrate elevation of the sinus floor overlying teeth 24, 25, and 26 due to the presence of florid osseous dysplasia. Tooth 27 is not affected.

Orthogonal views of site 38

These orthogonal cross-sectional images demonstrate a mixture of diffuse granular and sclerotic foci of bone within the alveolar process at site 38. A radiolucent soft tissue capsule surrounds this dysplastic bone. The overlying buccal and lingual cortical plates are thinned and mildly expanded, and the alveolar crest is elevated. The course of the mandibular nerve canal is unaffected. Despite the presence of a relatively concentric growth, these radiographic features are consistent with a site of florid osseous dysplasia. Radiographic follow-up of this area is recommended.

Axial views of site 38

These axial cross-sectional images demonstrate sclerotic foci as well as granular bone within the area of osseous dysplasia at site 38. Extensive thinning of the lingual cortical plate is present.

Sagittal views of site 38

These sagittal cross-sectional images demonstrate elevation of the alveolar crest at site 38. The course of the mandibular nerve canal has not been altered.

Coronal views of site 38

These coronal cross-sectional images demonstrate thinning and mild expansion of the buccal and lingual cortical plates at site 38.

Orthogonal views of mid-3rd quadrant

These orthogonal cross-sectional images demonstrate involvement of the periapical areas of teeth 33, 34, and 35 with the presence of dysplastic granular bone. The overlying buccal and lingual cortical plates demonstrate thinning and undulating expansion, which is an expected finding.

Orthogonal views of anterior mandible

These orthogonal cross-sectional images demonstrate florid osseous dysplasia involving the mandibular incisors. An amorphous granular bone pattern and thinning of the lingual cortical plate are apparent.

Orthogonal views of mid-4th quadrant

These orthogonal cross-sectional images demonstrate florid osseous dysplasia extending between the periapical areas of teeth 43, 44, 45, and 46. The overlying cortical plates are thinned, but no significant expansion is noted.

Orthogonal views of posterior 4th quadrant

These orthogonal cross-sectional images demonstrate a small radiolucency adjacent to the lingual aspect of the root apex of tooth 47. The adjacent lingual cortical plate is thinned. This represents an immature focus of osseous dysplasia.

2. Bifid right condyle

The right condylar head demonstrates an oblique bifidity. This is an incidental finding.