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Region of interest
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1. Exposed buccal threads on implant 13
The coronal half of the buccal threads of the implant at site 13 may not be embedded within bone. The remainder of the implant appears osseointegrated.
2. Exposed buccal threads on implant 11
The coronal two-thirds of the buccal threads of the implant at site 11 may not be embedded within bone. The remainder of the implant appears osseointegrated.
3. Exposed buccal threads on implant 21
The coronal third of the buccal threads of the implant at site 21 may not be embedded within bone. The remainder of the implant appears osseointegrated.
4. Thin buccal bone overlying implant 23
The buccal cortical bone overlying the coronal half of the implant at site 23 is thin and may be partially dehiscent. The remainder of the implant appears osseointegrated.
5. Rarefying osteitis on tooth 33
The crown of tooth 33 is absent. There is rarefying osteitis located periapical to the retained root of tooth 33. Extraction of this retained root is indicated prior to regional implant placement.
6. Rarefying osteitis on tooth 43
The crown of tooth 43 is absent, and its root is retained within the alveolar process of site 43. Rarefying osteitis is present periapical to this retained root. Extraction of this retained root is necessary prior to regional implant placement.
8. Periodontal bone loss in tooth 44
Moderate horizontal periodontal bone loss is present in tooth 44.
7. Periapical osseous dysplasia in association with tooth 44
There is a globular bony mass located periapical to tooth 44, which appears to be surrounded by a radiolucent lining of variable width. These findings are consistent with a focus of periapical osseous dysplasia, which does not require treatment.
9. Caries on tooth 44M+D
Caries may be present along the mesial and distal aspects of the crown of tooth 44. Clinical correlation is recommended to confirm this finding.
10. Potential erosive lesion in the right middle ear: Medical referral recommended
The ossicular chain and scutum of the right middle ear are not visualized in this imaging volume. Soft tissue attenuation is present just posterior to the middle ear cavity, in the region of the aditus ad antrum, and involving the mastoid air cells. These findings could suggest the presence of an erosive lesion involving the right middle ear, such as a cholesteatoma. It should be noted that this region of anatomy is located at the edge of the field of view, which is susceptible to imaging artifacts. However, referral to an ENT specialist should be considered to substantiate this interpretation, especially if the patient reports any relevant signs and symptoms, such as dizziness or conductive hearing loss.
11. Calcified stylohyoid ligaments
The stylohyoid ligaments are partially calcified bilaterally. This is an incidental finding with no clinical significance.
12. Severe cervical degenerative joint disease
Severe degenerative joint disease is present in the cervical vertebrae. The radiographic findings that support this diagnosis are the reduced joint spaces, the ossification of the intervertebral regions, the formation of large osteophytes and joint mice, the presence of subchondral sclerosis, and the calcification of the intervertebral disc.