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Case 109145

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Troublesome / painful / cracked tooth (Endodontic)

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Canaray 109145

Normal tooth 46

Tooth 46 appears normal radiographically. The periodontal ligament space is of uniform width around the tooth and the lamina dura is intact. No signs of endodontic or periradicular pathology are present. This radiographic appearance is not suggestive of the presence of a root fracture.

Axial views of tooth 46

Normal appearance of the alveolar bone surrounding the entire root circumference of tooth 46. If any cracks are present within the tooth, they have not affected the vitality of the tooth or the appearance of the bone surrounding the roots.

Mesiodistal views of tooth 46

These mesiodistal cross-sectional images demonstrate the normal appearance of the alveolar bone on the mesial and distal surfaces of the roots of tooth 46.

Buccolingual views of tooth 46

These buccolingual cross-sectional images demonstrate the intact alveolar bone on the buccal and lingual surfaces of the roots of tooth 46. The mesial and distal root apices are separated from the inferior alveolar nerve canal by 2.2 mm and 2.0 mm, respectively.

1. Sialolith in the right Wharton's duct

A sialolith is present in the right Wharton's duct. This sialolith has a fusiform appearance and a laminated structure with a slightly heterogeneous internal appearance. If symptoms of obstruction of the right submandibular gland are present, this sialolith will require removal.