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Patient Male, 41 years old
Initial clinical presentation of a 41-year old male patient referred for dental implant treatment planning. The patient had an extraction of the first left maxillary molar following a failed root canal treatment one year ago.
Panoramic view of the patient exhibiting the single-tooth gap in the upper left posterior maxilla. Additional findings include agenesis of both lateral maxillary incisors. Otherwise, there are no pathologic findings in the radiograph.
CBCT analysis of the left posterior maxilla including the missing first molar area (small FOV: 6 x 5 cm): the evaluation of the images exhibits well pneumatized maxillary sinus without any pathologic findings, premolars and a second molar without fillings or other signs of decay, and a reduced vertical bone height and even missing bone towards the maxillary sinus in the region of the first molar.
Figure 3D: The coronal slice exhibits an enamel pearl in the furcation area of the second molar (*). Based on these findings, a staged sinus floor elevation procedure with implant insertion was planned and discussed with the patient.