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Case 94204

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Referral category

Dental implants

Region of interest

mandible

Referral reason

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Canaray 94204

Transversely impacted tooth 18

Tooth 18 is transversely impacted and unerupted. The crown of tooth 18 is oriented in a buccal direction. The periodontal ligament space is not completely visualized around the root circumference of this impacted tooth, which suggests the possibility of ankylosis. The residual follicle surrounding the crown of this tooth appears hypoplastic. This tooth has not caused any damage to the adjacent tooth 17.

Transversely impacted tooth 28

Tooth 28 is transversely impacted and unerupted. The crown of tooth 28 is oriented in a buccal direction. The periodontal ligament space is not completely visualized around the root circumference of this impacted tooth, which suggests the possibility of ankylosis. The residual follicle surrounding the crown of this tooth appears hypoplastic. This tooth has not caused any damage to the adjacent tooth 27.

Healing extraction at site 37

An extraction socket is present at site 37. The periphery of this socket is lined with granular bone, which indicates an early phase of healing.

1. Possible arteriovenous malformation in anterior left maxilla

There is a well-defined, corticated channel which extends from an opening along the lateral plate of the left ethmoid bone and courses anteriorly and inferiorly between the nasolacrimal duct and the infraorbital canal to form a loop within the alveolar process of the left maxilla, just apical and palatal to tooth 25. Given the evenly corticated walls of these canals as well as their relatively uniform diameter, this likely represents an anatomic anomaly in the anterior left maxilla, such as an arteriovenous malformation. Referral to a medical professional may be considered if the patient reports any ocular or sinus symptoms.

2. Mucous retention cyst in right maxillary sinus

A small mucous retention cyst is present in the right maxillary sinus. This is an incidental finding with no clinical significance.

3. Palatine tonsilloliths

Tonsilloliths are present in the palatine tonsils. This is an incidental finding with no clinical significance due to the spontaneous exfoliation of tonsilloliths.

4. Mild cervical degenerative joint disease

Small osteophytes and mild subchondral sclerosis are present in the articular regions of the Atlas and dens of the cervical vertebrae. This is a common incidental finding with no clinical significance that is suggestive of mild cervical degenerative joint disease.

5. Elongated styloid processes

The styloid processes are elongated bilaterally. This is an incidental finding with no significance.