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Case 87707

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Referral category

Disease / syndrome / tumor / condition

Region of interest

12,13

Referral reason

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Canaray 87707

1. Slightly reduced margins of odontogenic lesion in anterior right maxilla (in comparison to prior scan)

The odontogenic tumor originally described in a study dated 07 September 2012 (case ID: 17814) is still present within alveolar process of the anterior right maxilla. In comparison with the previous study, the margins of this entity appears slightly reduced, with evidence of normal bone formation palatal to teeth 14 and 15, apical to tooth 13, and also inferior to the floor of the nasal fossa apical to teeth 12 and 11. However, there is now a small dehiscence along the floor of the nasal fossa just mesial to tooth 13, and the palatal cortex adjacent to the teeth 12 and 11 is absent, which may be secondary to surgery. There is no further progression of root resorption. These findings suggest the presence of limited healing following surgical excision. Yearly radiographic follow-ups are recommended to ensure no further progression of disease.

2. Dehiscences along nasal floor and palatal cortex

These sagittal cross-sectional images demonstrate the re-establishment of normal bone along the palatal and superior aspects of the lesion as compared to the original scan dated 07 September 2012 (case ID: 17814). There is now a focal dehiscence along the floor of the nasal fossa and also loss of the palatal cortex, which likely arose secondary to surgical excision.

3. Slightly reduced margins of lesion

These axial cross-sectional images demonstrate the presence of normal bone formation along the palatal and superior aspects of the lesion as compared to the original scan dated 07 September 2012 (case ID: 17814). Continued radiographic follow-up is recommended to monitor healing and ensure that there is no further progression of disease.

4. Retained root tip mesial to tooth 16

A small ovoid radiopacity is present in the alveolar process mesial to tooth 16 with a density similar to dentin. This radiopacity is surrounded by a periodontal ligament space and lamina dura. The surrounding periradicular bone appears normal. This likely represents a retained deciduous root tip and is a non-significant incidental finding.