Rozh DDC

CBCT Radiographic Interpretation of Maxillary Canine (UR3), impacted palatally.

Findings:
• The UR3 is visualized palatal to the maxillary arch.
• The crown of UR3 is oriented medially.
• Proximity and contact with the roots of the maxillary right central (UR1) and lateral incisors (UR2) with loss of lamina dura without external root resorption.
• Detailed color-coded segmentation of the maxillary dentition clearly shows the palatal impaction of UR3.

Orthodontic-Surgical Consideration: Surgical exposure and orthodontic traction of UR3 should be cautiously planned, prioritizing preservation of UR2/UR1.

Dr. Sangar Hameed Shekho
Oral and Maxillofacial Radiologist

برایەتی/ شەقامی ۲۰م ،لە نێوان ۱۰۰م و ٤۰م نزیک گۆڕستانی شێخ احمد بەرامبەر سەندیکای پزیشکانی ددانی کوردستان, Irbil, Iraq

Impacted maxillary third molar
Findings:
1. Tooth position and pathology:
• The left maxillary third molar is horizontally impacted, with the crown oriented mesio-superiorly.
• The crown is encompassed by a well-defined, expansile radiolucent lesion, consistent in morphology with a dentigerous cyst.
2. Cystic Lesion and Bone Involvement:
• The lesion is extensive, with resorption of the maxillary sinus floor, the buccal cortical plate, and the posterior wall of the maxilla on the affected side.
• There is also erosion of the lateral wall of the nasal cavity, indicating advanced and destructive expansion.
3. Maxillary Sinus and Nasal Cavity:
• The lesion causes significant invasion into the maxillary sinus cavity and buccal space, with loss of cortical boundary and apparent communication.
• The adjacent sinus shows signs of mucosal thickening, suggesting early inflammatory response.
4. Effect on Adjacent Tooth:
• The distobuccal root of the adjacent second molar shows external root resorption, likely due to pressure from the expanding cystic lesion.
Conclusion:
Horizontally impacted left maxillary third molar associated with an extensive, well-defined dentigerous cystic lesion, causing:
Recommendation:
Urgent referral for surgical evaluation and histopathological confirmation is advised due to aggressive bone destruction and risk of further maxillofacial compromise.

برایەتی/ شەقامی ۲۰م ،لە نێوان ۱۰۰م و ٤۰م نزیک گۆڕستانی شێخ احمد بەرامبەر سەندیکای پزیشکانی ددانی کوردستان, Irbil, Iraq

for Maxillofacial Radiology
We are delighted to announce the opening of Rozh DDC in to serve a premium & unique imaging for your patients.
From Saturday to Thursday
located in 40m Street infront of Kurdistan Dental Association.

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