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Referral details

Case 99521

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Referral category

Troublesome / painful / cracked tooth (Endodontic)

Region of interest

12,11,21

Referral reason

[Only visible to logged-in users]

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Canaray 99521

1. Alveolar process fracture in anterior maxilla

A fracture plane is present within the anterior maxillary alveolar process, which extends from the nasal floor to the buccal aspect of the midroot level of teeth 11 and 21. The fractured fragment is anteriorly displaced, and has disrupted the periradicular bone of teeth 12, 11, and 21. No additional maxillary or dental fractures are present.

Axial views of maxilla

These axial cross-sectional images demonstrate a fracture within the maxillary alveolar process overlying teeth 11 and 21. The buccal cortical plate is partially disrupted overlying the root apex of tooth 12. No additional fracture planes are present in the maxilla. Note the intact cortices of the incisive canal.

Buccolingual views of anterior maxilla

These buccolingual cross-sectional images demonstrate the fracture plane through the anterior maxilla, which extends from the midroot level of teeth 11 and 21 to the level of the nasal floor. Displacement of the fractured fragment is evident.

Orthogonal views of tooth 12

The crown and root of tooth 12 appear normal radiographically. No signs of root fracture are present. The buccal cortical plate is disrupted overlying the apical third of the root of tooth 12 due to the alveolar fracture.

Orthogonal views of tooth 11

The crown and root of tooth 11 appear normal radiographically. No signs of root fracture are present. The periodontal ligament space is widened around the root circumference of tooth 11 due to the fracture of the alveolar process in this region. No periapical pathology is present at this time.

Orthogonal views of tooth 21

The crown and root of tooth 21 appear normal radiographically. No signs of root fracture are present. The periodontal ligament space is widened along the buccal surface of the root of tooth 21 due to the fracture of the alveolar process in this region. No periapical pathology is present at this time.

Orthogonal views of tooth 22

These orthogonal cross-sectional images demonstrate the normal appearance of the roots of tooth 22 from various perspectives. No evidence of a root fracture is present.