Category: Case of the week

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Case of the week: Fusion

This week is a neat case of fusion with some clinical photos as well.  Fusion is when two adjacent developing teeth fuse into one large tooth.  This results in an overall tooth count of 15 for an arch.  Gemination, which can have a similar appearance, results in an overall tooth…
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Case of the week: Double Lingual Foramina

This weeks case is an interesting variant of normal anatomy – two lingual foramina seen on a periapical radiograph.  Some patients can have up to three lingual foramina. Note the two well-defined, circular radiolucent entities inferior to the mandibular central incisors.  The superior one is larger than the inferior one.…
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Case of the week: Chronic Apical Periodontitis

This week is a follow up to last week with a case of chronic apical periodontitis.  The primary difference of chronic apical periodontitis versus acute apical periodontitis is the presence of sclerotic bone formation.  This sclerotic bone formation (sometimes referred to as sclerosing osteitis) may present in one of three…
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Case of the week: Apical Periodontitis (Apical Rarefying Osteitis)

This week’s case is from a request to see cases of apical periodontitis and chronic apical periodontitis (coming next week).  A good definition I found of apical periodontitis is “a spectrum of diseases that occur around the tooth apex, including periapical granuloma, periapical abscess, and periapical (radicular) cyst” (Scheinfeld MH,…
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Case of the week: Antrolith and Sinusitis

This weeks case has a few things going on in one of the maxillary sinuses.  There are three different findings in the left maxillary sinus: an antrolith, sinusitis, and a maxillary sinus septum. An antrolith is a calcification within the maxillary sinuses. Sinusitis is thickening of the soft tissue of…