Scanner Used and Location:
Dental Scan Ltd Manchester Branch
DEXIS OP 3D

Region Imaged:
Mandible 

Clinical Information:
Lower central incisors were lost as loose. Implants planned and block graft may be needed.

Scanning Protocol:
5.5 x 9cm FOV, 0.3mm voxel size, 95 kVp, 9 mA, 3.6 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:

There is mild generalised alveolar bone loss due to periodontal disease.

The apices of the LR8 and LL8 are touching the inferior dental canal.

There is a large, moderately well-defined unilocular radiolucency 7 x 13 x 9 mm replacing the buccal cortical plate, marrow space and alveolar ridge crest. The lesion extends from the LR3 root mesial surface to the LL2 root mesial surface. There are small multiple small radiopaque spicules in the centre of the lesion. The LR3 and LL2 apical periodical ligament spaces are normal (image 1).

Differential diagnosis based on radiological interpretation is a benign calcifying epithelial odontogenic tumour or a metastatic breast tumour. This necessitates an urgent referral to oral surgery for further investigation and biopsy to confirm diagnosis.

Reconstructed Panoramic Image

Image 1