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Referral details

Case 251312

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Referral category

Dental implants

Region of interest

Upper and Lower arches

Referral reason

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Canaray 251312

1. Possible vascular malformation or benign tumor in C2: MEDICAL REFERRAL REQUIRED

A multilocular radiolucent entity with well-defined septae and a thinly corticated periphery is present in the odontoid process of C2. This entity was partially captured in this scan, but appears to have produced a dehiscence in the cortical plate at the anterolateral aspect of the odontoid process. The radiographic appearance is suggestive of a benign tumor or vascular malformation (such as a hemangioma) in C2. The lesion was partially captured in this scan. A medical referral by the patient's physician for medical imaging is recommended.

2. Recent extraction sockets at sites 11 and 22

The extraction sockets at sites 11 and 22 exhibit minimal reparative bone formation, which suggests that these extractions were recently performed.

Normal remaining edentulous sites in maxilla and mandible

The edentulous sites in the maxilla and posterior mandible appear normal radiographically. No intraosseous pathology is noted. However, the trabecular density in the posterior 3rd quadrant is reduced, which may affect the primary stability of any implant placed in this region.

3. Moderate periodontal bone loss + widened PDL space on tooth 34

Moderate vertical bone loss is present on tooth 34, which extends to the middle third of the root. The periodontal ligament space is widened on the mesial and buccal surfaces of the apical third of the root of tooth 34. These findings suggest increased mobility of the tooth and possible early endodontic pathology. The remaining periradicular bone appears normal. There are no signs of a root fracture.

4. Vertical bone loss on tooth 47Li

Vertical bone loss is present on the lingual surfaces of the mesial and distal roots of tooth 47. This bone loss extends from the alveolar crest to the middle thirds of the roots. This bone loss extends into the lingual furcation of the tooth. This bone loss may be periodontal in origin. However, the presence of a crack on the lingual surfaces of the mesial or distal root cannot be ruled out.

Severe attrition is present on the occlusal surface of the distal portion of the crown of the tooth. The dentin in this region appears exposed. The restoration on the buccal aspect of the tooth exhibit an overhang. Mild periodontal bone loss is present on the buccal surface of the tooth. The remaining periradicular bone appears normal. There are no signs of periapical pathology or a root fracture.

Generalized periodontal bone loss

Moderate periodontal bone loss is present on the mandibular incisors, canines, and premolars. Mild periodontal bone loss is present on the remaining teeth.

5. Moderate mucositis in left maxillary sinus

Moderate mucositis is present in the left maxillary sinus. This is an incidental finding with no clinical significance.