DIPAK PANDA

Gender: M Age: 058Y

CBCT
Impression:
…………………………………….
Cone beam computed tomography non- contrast imaging study of mandibular right posterior teeth
region reveals;
47 likely to be presenting with treated endodontically and with coronal dental prosthesis. Based on the
overall radiological features following inferences may be drawn about the respective tooth;

 The respective tooth is likely to be presenting with two roots (i.e. Mesial and Distal).

 The mesial root of the respective tooth is likely to be presenting with two root canals (i.e.
Mesiobuccal and Mesiolingual). Each of the respective tooth root canals are also likely to be
presenting with radio-opaque root canal restorative material.

 The distal root of the respective tooth is likely to be presenting with two root canals (i.e.
Distobuccal and Distolingual) which are perhaps comprising of two individual coronal
orifices and a single apical foramen. Each of the aforementioned root canals are presenting
with signs of radio-opaque root canal restorative materials,

 In continuation with the radiological appearance of radio-opaque root canal material in the
anticipated distobuccal root canal, presence of sign of radio-opacity similar to the root canal
restorative materials in the buccal PDL space is noted to be situated in continuation with it.
The overall radiological features may be attributed as a sign of beam attenuation artefact or
perforation of distobuccal root canal and leakage of root canal restorative material into the
lateral periodontal space. (?)

 The periapical region of the respective tooth is likely to be presenting with mild widening of
PDL space which may be correlated as a sign of chronic periapical lesion or healing bone scar
or artefact. (?)
Other radiological features associated with maxillary and mandibular dentoalveolar arches (visible
in the respective radiograph) are as follows;

 Generalized advanced degree of dentoalveolar bone loss suspected.

 Generalized calculus shadow suspected.

 Multiple upper and lower teeth malalignment suspected.

 Multiple upper and lower teeth attrition suspected.

 17 and 48 are likely to be treated endodontically and with coronal dental prosthesis. The
coronal radiolucencies noted in relation to the respective teeth may be correlated as a sign of
chronic dental decay or dental operative intervention or artefact. The periapical region of the
respective teeth are likely to be presenting with of mild widening of PDL spaces which may
be correlated as a sign of chronic periapical lesion or healing bone scar or artefact. (?)

 Dental decay or artefact suspected in relation to 12, 13, 14, 15, 16, 24, 25, 26, 27, 37, 36, 35,
34, 44, 45 and 46. The periapical regions of 15, 45 and 46 are likely to be presenting with
mild widening of PDL spaces which may be correlated as a sign of chronic periapical lesion
or effect of trauma from occlusion or artefact. (?)

 Multiple upper and lower teeth are likely to be presenting with mild widening of PDL spaces
without any significant sign of dental carious exposure radiologically. The overall
radiological features may be correlated as an effect of trauma from occlusion or artefact. (?)

 Polypoid mucosal swelling or artefact suspected in relation to right and left maxillary sinuses.

 Marginally deviated nasal septum suspected.

 Chronic disc displacement disorder of right and left temporomandibular joints suspected.

 Idiopathic osteosclerosis or artefact suspected in approximation to the bilateral mental

foramen regions.

 The overall radiological appearance of maxillary and mandibular dentoalveolar and

corticocancellous bone apparently appears to be osteopenic. (?)

Clinicoradiological correlation is advised.

NB. Further investigations are advised if clinically indicated.
End of report.