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Troublesome / painful / cracked tooth (Endodontic)
Region of interest
# 36 / 37 area
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1. Chronic osteomyelitis associated with impacted tooth 37
Teeth 37 and 38 are impacted and partially resorbed within the left posterior mandible. The residual follicle around the crown of tooth 37 communicates with the oral cavity, and periradicular bone loss is present along the buccal aspect of the roots of tooth 37. A defect is present within the buccal cortical plate at the level of the root apices of tooth 37, which suggests the presence of a draining sinus tract. Diffuse sclerosis involves the trabecular bone of the left posterior mandibular body and alveolar process around these impacted teeth.
These radiographic findings suggest the presence of chronic osteomyelitis associated with the impacted tooth 37. Note that the full extent of sclerosis within the left mandible is unknown based on this limited field of view.
Orthogonal views of tooth 37
These orthogonal cross-sectional images demonstrate bone loss along the buccal aspect of the roots of the impacted tooth 37, which extends through the buccal cortex of the mandible at the level of the root apices. The lingual cortex remains intact. The diffuse pattern of sclerosis around tooth 37 is evident. Note that the crown of tooth 37 is either resorbed or was previously removed. The poor delineation of the periodontal ligament space around the majority of the root circumference of tooth 37 suggests this tooth is likely ankylosed.
Orthogonal views of tooth 38
These orthogonal cross-sectional images demonstrate the mesioangular orientation of the impacted tooth 38. The follicle and periodontal ligament space are not visible and the crown is partially resorbed, which suggests this tooth is likely ankylosed. Note the presence of extensive sclerosis around the impacted tooth 38.
2. Multiple subcutaneous calcifications
Subcutaneous calcifications are dispersed throughout the left cheek. This is an incidental finding with no clinical significance.