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

Scanner Used:
Dexis OP 3D LX (2023 MODEL)

Region Imaged:  
UR2-UL6 (sectional scan)

Clinical Information:
Assessment of complex anatomy of UL5

Scanning Protocol:
5 x 5cm FOV, 0.12mm voxel size, 95 kVp, 3.2 mA, 10 seconds

Radiation Dose: 
Approximately 0.04 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 for you that includes: panoramic curve, custom reconstructed 3D, highlighting the inferior dental canal and image rotation according to the area of interest.

Findings:

A double crown is present on the UL5, this is either a gemination or a fusion between the tooth and a supernumerary tooth. There is a small crown attached to the mesiobuccal surface of the normally sized crown, with a deep groove separating them. There is a single root with a single root canal but a pulp branch splits off towards the small crown. The root apex sits close to the buccal cortical plate. There is a small area of periapical inflammatory bone loss, with perforation of the cortical plate.

Buccal exostoses are present on the buccal cortex overlying the UL4 and another linear exostosis overlying the buccal side of UL56 and UL6. Small exostoses are also present on the palatal surface of the alveolus in the left molar region. Multiple exostoses are occasionally seen as a variant of normal, which is the likely situation here. They can be familial or reactive.

Reconstructed Panoramic View

Image 1.
Mesiodistal cross sections

Image 2.
Buccopalatal cross sections

Image 3.
Oblique (distopalatal to mesiobuccal) cross sections

Image 4.
Axial cross sections from crown to apex. Buccal to the left, mesial to the top

3D Reconstruction
Volume-rendered images of UL5 to show the surface topography.