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

Scanner Used:
DEXIS OP 3D LX
(RRP £72,000 CALL FOR DETAILS)

Clinical Information:
Assessment of radiolucent area associated with UL2, UL3.

Scanning Protocol:
8x9cm FOV, 0.3 voxels, 95kVp, 9mA, 3.6 seconds

Radiation Dose: 
approximately 0.06 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:

  • A high-density region is noted at the interdental bone between apical region of 24 and 25. This is consistent with a retained primary tooth fragment, enostosis or idiopathic osteosclerosis. Future monitoring is indicated (Image 2).
  • The maxillary third molars are unerupted, their crowns inclined disto-palatally, in close contact with distal aspect of the root of the adjacent second molars. Their developing roots are in close contact with floors of the respective maxillary sinuses (Images 3 and 4).
  • Mild to moderate mucosal thickening is noted at the floor and the medial and lateral borders of the right and left maxillary sinuses and parts of ethmoid sinuses (Image 5).
  • A well-defined, partly corticated, expansile low-density lesion is noted at the maxillary left anterior region, measuring approximately 22.71mm x 32.50mm (Images 6 and 7).
  • The lesion extends from the interdental space between the root apices of 22 and 23, displacing and blunting their root apices, significantly expanding and resorbing the buccal and palatal cortical plates and eroding and elevating the floor of the left maxillary sinus superiorly.
  • The lesion extends mesially, palatal to the root apices of 21 and 22 and erodes the cortical border of the incisive foramen.
  • The lesion extends distally palatal to the root apices of 24 and 25 and the mesiobuccal root of 26.
  • The floor of the left maxillary sinus cannot be delineated distinctly above the root apices of 25 and 26. Periosteal reaction is also noted at the site.
  • The leading differential diagnosis for this low density is an odontogenic keratocyst, which has a predilection for recurrence after removal.
  • Other differential diagnoses to consider include an ameloblastic fibroma, although not likely due to the absence of root resorption, or possibly a calcifying epithelial odontogenic tumour, although this is also not likely since there is not an impacted tooth associated with the lesion.
  • An incisional biopsy is indicated in order to determine a definitive diagnosis.

Image 1.
Panoramic reconstruction

Image 2.
A high-density region is noted at the interdental bone between apical region of 24 and 25. This is consistent with a retained primary tooth fragment, enostosis or idiopathic osteosclerosis. Future monitoring is indicated

Image 3.

Image 4.

The maxillary third molars are unerupted, their crowns inclined disto-palatally, in close contact with distal aspect of the root of the adjacent second molars. Their developing roots are in close contact with floors of the respective maxillary sinuses

Image 5.
Mild to moderate mucosal thickening is noted at the floor and the medial and lateral borders of the right and left maxillary sinuses and parts of ethmoid sinuses

Image 6.
A well-defined, partly corticated, expansile low-density lesion is noted at the maxillary left anterior region, measuring approximately 22.71mm x 32.50mm

Image 7.

3D Volume (Xelis)

Thank you for your continued referrals.

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Alex Woodham

Clinical Director

mobilePhone
+44 (0)20 7590 2020
emailAddress
alex@dental-scan.co.uk
website
https://dental-scan.co.uk/
address
Suite 17, 75 Harley Street, London, W1G 8QL

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