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Referral details

Case 202064

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Referral category

Disease / syndrome / tumor / condition

Region of interest

Left posterior mandible

Referral reason

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Canaray 202064

1. Fibrous dysplasia in the posterior left mandible

A zone of heterogeneous granular bone is present in the posterior left mandible. This region of altered bone extends from the periapical region of tooth 36 to the anterior aspect of the left mandibular ramus. The entity has caused endosteal scalloping of the buccal and lingual cortical plates, and has slightly altered the path of the inferior alveolar nerve canal, by displacing the canal superiorly. This pattern of canal displacement is a pathognomonic sign of fibrous dysplasia. The entity has not had any effect upon the adjacent teeth.

2. Rarefying osteitis at tooth 37M related to endodontic post

A persistent zone of rarefying osteitis is present in the furcal region of tooth 37. This rarefying osteitis extends around the lingual surface of the mesial root of the tooth. The source of the rarefying osteitis appears to be the presence of a perforation or fracture at the level of the endodontic post in the mesial root. The distal root of the tooth does not exhibit any pathology. The lesion associated with tooth 37 is unrelated to the fibrous dysplasia in the posterior third quadrant

3. Rarefying osteitis at tooth 26MB: possible unfilled MB2 canal

Periapical rarefying osteitis is present at the mesiobuccal root of tooth 26. The existing obturation in the mesiobuccal root is slightly laterally positioned, which suggests that an unobturated, calcified MB2 canal may exist. The rarefying osteitis originating at the mesiobuccal root tooth 26 extends into the periapical region of the distobuccal root of the tooth. However, the distobuccal root appears to be secondarily affected rather than the source of any pathology. The distobuccal and palatal roots of tooth 26 appear normal, and are not the source of any pathology.

4. Left palatine tonsilloliths

Tonsilloliths are present in the left palatine tonsil. This is an incidental finding with no clinical significance.