Case Of The Week - An Incidental Finding!

Imaging Location:
Dental Scan Manchester
Suite 1, Trafalgar House
110 Manchester Rd, Altrincham, WA14 1NU

Scanner Used:
DEXIS OP 3D LX
(RRP £72,000 contact us for more info)

Clinical Information:
CBCT to assess the curvature of the UL8 roots and proximity of the roots to the sinus floor

Scanning Protocol:
10x6cm FOV, 0.2 voxels, 95kVp, 9mA, 11.5 seconds

Radiation Dose:
approximately 0.8 mSv

Xelis Dental Viewer (same price as i-CAT Vision Includes RAW DICOM files)
Allows you to plan your patient’s treatment easily, with a full implant library and free virtual implant placement capabilities. Our clinical team will prepare a study that includes: a panoramic curve, custom reconstructed 3D, highlighting the inferior dental canal, and image rotation according to the area of interest.

Findings:

The UL8 has three approximated roots with taurodont morphology (furcation is at the middle of the root) and they are palatally inclined (image 2).
The maxillary sinus floor is elevated and contacts the UL8 apices and the buccal surface of the roots indicating an intimate relationship between them (image 2).
Distal periodontal bone loss is extending to the middle of the roots (image 2).
The remaining teeth imaged show no periapical pathology with normal periodontal bone levels.
An incidental finding is noted in the right anterior nasal cavity. On the medial wall of the right anterior nasal cavity, anterior to the nasolacrimal canal, there is a rounded, well demarcated, corticated mixed radio density lesion which measures an approximately 7mm x 6mm x 5mm (image 3).
The features are in keeping with a benign fibre-osseous lesion such as an ossifying fibroma.
There are no concerning features. The differential diagnosis includes an unusual calcification of a foreign body if there is any such previous history of dislodging a foreign body into the nose. ENT referral is advised for second opinion and management.

Image 1.
Panoramic reconstruction

Image 2.

The UL8 has three approximated roots with taurodont morphology (furcation is at the middle of the root) and they are palatally inclined
The maxillary sinus floor is elevated and contacts the UL8 apices and
the buccal surface of the roots indicating an intimate relationship between them
Distal periodontal bone loss is extending to the middle of the roots

Image 3.
An incidental finding is noted in the right anterior nasal cavity. On the medial wall of the right anterior nasal cavity, anterior to the nasolacrimal canal, there is a rounded, well demarcated, corticated mixed radio density lesion which measures an approximately 7mm x 6mm x 5mm