Mucosal lining thickening of the left sphenoid sinus

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Alex Woodham explains why it’s good follow to evaluate the whole information set systematically when clinically evaluating a CBCT scan.

Findings

The edentulous areas have gentle to reasonable vertical bone resorption with reasonable density cortical and trabecular bone.

The UL7 edentulous ridge has a well-defined radiopacity measuring 4 x 3 x 6 mm. This extends from the alveolar crest to the sinus ground. It’s a dense bony island or retained root tip.

The UR3, UR1 and UL5 are root handled to apices with regular periodontal ligament areas.

The UR4 is root handled. The buccal root filling is wanting the apex with an apical radiolucency 3-4 mm huge. That is most likely an apical granuloma or radicular cyst secondary to persistent apical periodontitis. The palatal root canal is crammed to the apex with an apical radiolucency 0.5-1 mm huge.

The UL1 has exterior root resorption, totally on the palatal facet of the foundation. Roughly a 3rd to half of the foundation is resorbed. There is no such thing as a apical radiolucency however the root could also be partially ankylosed to the bone. The UL2 additionally has exterior root resorption however to a lesser extent.

Each maxillary and left sphenoid sinuses have gentle generalised thickening of the mucosal linings. There is no such thing as a enlargement or bony erosion of the sinus partitions.

Studying from this case

It’s good follow to evaluate the whole information set systematically when clinically evaluating a CBCT scan.

An intensive strategy to analyzing the amount prompts applicable administration for the affected person of any recognized or incidental findings.


For extra data go to dental-scan.co.uk.

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