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Referral details

Case 15276

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Referral category

Dental implants

Region of interest

11 + 21

Referral reason

[Only visible to logged-in users]

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Canaray 15276

Site 12: Borderline bone levels

A 4x13mm cylinder was overlaid on the adjacent images at site 12. Barely enough buccolingual bone exists to cover the cylinder at this site.

Site 11: Inadequate bone

A 4x13mm cylinder was overlaid on the adjacent images at site 11. Inadequate buccolingual bone exists for this cylinder to be fully embedded at this site without additional bone augmentation.

Site 21: Inadequate bone

A 4x11mm cylinder was overlaid on the adjacent images at site 21. Inadequate buccolingual bone exists for this cylinder to be fully embedded at this site without additional bone augmentation.

Site 22: Inadequate bone

A 4x13mm cylinder was overlaid on the adjacent images at site 22. Inadequate buccolingual bone exists for this cylinder to be fully embedded at this site without additional bone augmentation.

Axial views of anterior maxilla

These axial cross sectional images demonstrate inadequate buccolingual bone volume to accommodate the proposed implant cylinders at sites 11, 21, and 22. Proposed implants 11 and 21 are in close proximity to the incisive canal.

1. History of maxillary fracture

Metallic fixation plates and screws are present in the maxilla due to a history of maxillary fracture. A small residual fracture plane is present in the maxillary alveolar process mesial to tooth 22. The remaining osseous structures of the maxilla appear normal.

2. External + internal resorption on tooth 22

Tooth 22 exhibits extensive external resorptive defects involving the midroot level. The root canal of tooth 22 also demonstrates irregular widening, suggestive of internal resorption. Extraction of tooth 22 is indicated.

3. Early external resorption on tooth 13

Areas of early external resorption are present along the palatal aspect of the coronal third of the root and at the apical third of the root of tooth 13. This is most likely secondary to the history of maxillary trauma. Periodic radiographic assessment of tooth 13 is recommended to monitor progression of these resorptive defects.

4. Focal mucositis + transverse septum in left maxillary sinus

Focal mucosal thickening is present at the anterior aspect of the left maxillary sinus, which represents localized mucositis. A transverse septum is also present in the left maxillary sinus. Both represent incidental findings with no clinical significance.